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ROBERT M. JENSEN, M.D. PROFIT SHARING PLAN 401k Plan overview

Plan NameROBERT M. JENSEN, M.D. PROFIT SHARING PLAN
Plan identification number 001

ROBERT M. JENSEN, M.D. PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • 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.
  • 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.

401k Sponsoring company profile

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

Company Name:ROBERT M. JENSEN, M.D.
Employer identification number (EIN):931119480
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROBERT M. JENSEN, M.D. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012012-01-01ROBERT JENSEN ROBERT JENSEN2013-08-14
0012011-01-01ROBERT M. JENSEN ROBERT M. JENSEN2012-07-25
0012010-01-01ROBERT JENSEN ROBERT JENSEN2011-08-05
0012009-01-01ROBERT JENSEN ROBERT JENSEN2010-10-12

Plan Statistics for ROBERT M. JENSEN, M.D. PROFIT SHARING PLAN

401k plan membership statisitcs for ROBERT M. JENSEN, M.D. PROFIT SHARING PLAN

Measure Date Value
2012: ROBERT M. JENSEN, M.D. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0119
Total number of active participants reported on line 7a of the Form 55002012-01-019
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-012
Total of all active and inactive participants2012-01-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0111
Number of participants with account balances2012-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: ROBERT M. JENSEN, M.D. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0119
Total number of active participants reported on line 7a of the Form 55002011-01-0116
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-013
Total of all active and inactive participants2011-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0119
Number of participants with account balances2011-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: ROBERT M. JENSEN, M.D. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0122
Total number of active participants reported on line 7a of the Form 55002010-01-0119
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-011
Total of all active and inactive participants2010-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0120
Number of participants with account balances2010-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: ROBERT M. JENSEN, M.D. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0118
Total number of active participants reported on line 7a of the Form 55002009-01-0120
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-012
Total of all active and inactive participants2009-01-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0122
Number of participants with account balances2009-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011

Financial Data on ROBERT M. JENSEN, M.D. PROFIT SHARING PLAN

Measure Date Value
2012 : ROBERT M. JENSEN, M.D. PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan2012-12-31$0
Total plan liabilities at end of year2012-12-31$0
Total plan liabilities at beginning of year2012-12-31$0
Total income from all sources2012-12-31$170,839
Expenses. Total of all expenses incurred2012-12-31$19,534
Benefits paid (including direct rollovers)2012-12-31$12,755
Total plan assets at end of year2012-12-31$748,991
Total plan assets at beginning of year2012-12-31$597,686
Value of fidelity bond covering the plan2012-12-31$80,000
Total contributions received or receivable from participants2012-12-31$39,500
Expenses. Other expenses not covered elsewhere2012-12-31$6,779
Other income received2012-12-31$81,593
Net income (gross income less expenses)2012-12-31$151,305
Net plan assets at end of year (total assets less liabilities)2012-12-31$748,991
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$597,686
Assets. Value of participant loans2012-12-31$10,137
Total contributions received or receivable from employer(s)2012-12-31$49,746
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : ROBERT M. JENSEN, M.D. PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total plan liabilities at end of year2011-12-31$0
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$37,982
Expenses. Total of all expenses incurred2011-12-31$343,831
Benefits paid (including direct rollovers)2011-12-31$336,624
Total plan assets at end of year2011-12-31$597,686
Total plan assets at beginning of year2011-12-31$903,535
Value of fidelity bond covering the plan2011-12-31$60,000
Total contributions received or receivable from participants2011-12-31$700
Expenses. Other expenses not covered elsewhere2011-12-31$7,207
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$4,782
Noncash contributions received2011-12-31$0
Net income (gross income less expenses)2011-12-31$-305,849
Net plan assets at end of year (total assets less liabilities)2011-12-31$597,686
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$903,535
Assets. Value of participant loans2011-12-31$13,518
Total contributions received or receivable from employer(s)2011-12-31$32,500
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : ROBERT M. JENSEN, M.D. PROFIT SHARING PLAN 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total plan liabilities at end of year2010-12-31$0
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$122,442
Expenses. Total of all expenses incurred2010-12-31$9,076
Benefits paid (including direct rollovers)2010-12-31$0
Total plan assets at end of year2010-12-31$903,535
Total plan assets at beginning of year2010-12-31$790,169
Value of fidelity bond covering the plan2010-12-31$100,000
Total contributions received or receivable from participants2010-12-31$436
Expenses. Other expenses not covered elsewhere2010-12-31$0
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$92,006
Noncash contributions received2010-12-31$0
Net income (gross income less expenses)2010-12-31$113,366
Net plan assets at end of year (total assets less liabilities)2010-12-31$903,535
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$790,169
Assets. Value of participant loans2010-12-31$47,458
Total contributions received or receivable from employer(s)2010-12-31$30,000
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$9,076
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : ROBERT M. JENSEN, M.D. PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for ROBERT M. JENSEN, M.D. PROFIT SHARING PLAN

2012: ROBERT M. JENSEN, M.D. PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: ROBERT M. JENSEN, M.D. PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: ROBERT M. JENSEN, M.D. PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: ROBERT M. JENSEN, M.D. PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

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