401k Plan data: SAMUEL J. HARDY, M.D., INC. PROFIT SHARING PLAN plan

SAMUEL J. HARDY, M.D., INC. PROFIT SHARING PLAN 401k Plan overview

Plan Name	SAMUEL J. HARDY, M.D., INC. PROFIT SHARING PLAN
Plan identification number	004

SAMUEL J. HARDY, M.D., INC. 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.
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

SAMUEL J. HARDY, M.D., INC. has sponsored the creation of one or more 401k plans.

Company Name: SAMUEL J. HARDY, M.D., INC.

Employer identification number (EIN): 942332022

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SAMUEL J. HARDY, M.D., INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2014-01-01
004 2013-01-01
004 2012-01-01 SAMUEL J. HARDY, MD SAMUEL J. HARDY, MD 2013-04-29
004 2011-01-01 SAMUEL J. HARDY, MD SAMUEL J. HARDY, MD 2012-05-16
004 2010-01-01 SAMUEL J. HARDY, MD SAMUEL J. HARDY, MD 2011-03-24

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
004	2014-01-01
004	2013-01-01
004	2012-01-01	SAMUEL J. HARDY, MD	SAMUEL J. HARDY, MD	2013-04-29
004	2011-01-01	SAMUEL J. HARDY, MD	SAMUEL J. HARDY, MD	2012-05-16
004	2010-01-01	SAMUEL J. HARDY, MD	SAMUEL J. HARDY, MD	2011-03-24

Plan Statistics for SAMUEL J. HARDY, M.D., INC. PROFIT SHARING PLAN

401k plan membership statisitcs for SAMUEL J. HARDY, M.D., INC. PROFIT SHARING PLAN

Measure Date Value
2014: SAMUEL J. HARDY, M.D., INC. PROFIT SHARING 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: SAMUEL J. HARDY, M.D., INC. PROFIT SHARING 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: SAMUEL J. HARDY, M.D., INC. PROFIT SHARING 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: SAMUEL J. HARDY, M.D., INC. PROFIT SHARING 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: SAMUEL J. HARDY, M.D., INC. PROFIT SHARING 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
Total of all active and inactive participants 2010-01-01 1
Total participants 2010-01-01 1
Number of participants with account balances 2010-01-01 1

Measure	Date	Value
2014: SAMUEL J. HARDY, M.D., INC. PROFIT SHARING 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: SAMUEL J. HARDY, M.D., INC. PROFIT SHARING 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: SAMUEL J. HARDY, M.D., INC. PROFIT SHARING 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: SAMUEL J. HARDY, M.D., INC. PROFIT SHARING 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: SAMUEL J. HARDY, M.D., INC. PROFIT SHARING 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
Total of all active and inactive participants	2010-01-01	1
Total participants	2010-01-01	1
Number of participants with account balances	2010-01-01	1

Financial Data on SAMUEL J. HARDY, M.D., INC. PROFIT SHARING PLAN

Measure	Date	Value
2014 : SAMUEL J. HARDY, M.D., INC. PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$278,000
Expenses. Total of all expenses incurred	2014-12-31	$80,000
Benefits paid (including direct rollovers)	2014-12-31	$30,000
Total plan assets at end of year	2014-12-31	$4,505,000
Total plan assets at beginning of year	2014-12-31	$4,307,000
Assets. Value of tangible personal property	2014-12-31	$150,000
Expenses. Other expenses not covered elsewhere	2014-12-31	$50,000
Other income received	2014-12-31	$278,000
Net income (gross income less expenses)	2014-12-31	$198,000
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$4,505,000
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$4,307,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : SAMUEL J. HARDY, M.D., INC. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$605,283
Expenses. Total of all expenses incurred	2013-12-31	$35,000
Benefits paid (including direct rollovers)	2013-12-31	$30,000
Total plan assets at end of year	2013-12-31	$4,307,000
Total plan assets at beginning of year	2013-12-31	$3,736,717
Assets. Value of tangible personal property	2013-12-31	$80,000
Other income received	2013-12-31	$605,283
Net income (gross income less expenses)	2013-12-31	$570,283
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$4,307,000
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$3,736,717
Assets. Value of participant loans	2013-12-31	$25,000
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$5,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : SAMUEL J. HARDY, M.D., INC. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$341,885
Expenses. Total of all expenses incurred	2012-12-31	$150,000
Benefits paid (including direct rollovers)	2012-12-31	$70,000
Total plan assets at end of year	2012-12-31	$3,736,717
Total plan assets at beginning of year	2012-12-31	$3,544,832
Assets. Value of tangible personal property	2012-12-31	$125,000
Expenses. Other expenses not covered elsewhere	2012-12-31	$80,000
Other income received	2012-12-31	$341,885
Net income (gross income less expenses)	2012-12-31	$191,885
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$3,736,717
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$3,544,832
Assets. Value of participant loans	2012-12-31	$25,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : SAMUEL J. HARDY, M.D., INC. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$-65,228
Expenses. Total of all expenses incurred	2011-12-31	$190,000
Benefits paid (including direct rollovers)	2011-12-31	$100,000
Total plan assets at end of year	2011-12-31	$3,544,832
Total plan assets at beginning of year	2011-12-31	$3,800,060
Assets. Value of tangible personal property	2011-12-31	$70,000
Other income received	2011-12-31	$-65,228
Net income (gross income less expenses)	2011-12-31	$-255,228
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$3,544,832
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$3,800,060
Assets. Value of participant loans	2011-12-31	$25,000
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$90,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : SAMUEL J. HARDY, M.D., INC. PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$311,286
Expenses. Total of all expenses incurred	2010-12-31	$120,000
Total plan assets at end of year	2010-12-31	$3,800,060
Total plan assets at beginning of year	2010-12-31	$3,608,774
Assets. Value of tangible personal property	2010-12-31	$43,886
Expenses. Other expenses not covered elsewhere	2010-12-31	$120,000
Other income received	2010-12-31	$311,286
Net income (gross income less expenses)	2010-12-31	$191,286
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$3,800,060
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$3,608,774
Assets. Value of participant loans	2010-12-31	$50,000

Form 5500 Responses for SAMUEL J. HARDY, M.D., INC. PROFIT SHARING PLAN

2014: SAMUEL J. HARDY, M.D., INC. PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: SAMUEL J. HARDY, M.D., INC. PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: SAMUEL J. HARDY, M.D., INC. PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: SAMUEL J. HARDY, M.D., INC. PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: SAMUEL J. HARDY, M.D., INC. PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	SAMUEL J. HARDY, M.D., INC.
Employer identification number (EIN):	942332022
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)