401k Plan data: PACIFIC SLEEP DISORDER, GP PROFIT SHARING PLAN plan

PACIFIC SLEEP DISORDER, GP PROFIT SHARING PLAN 401k Plan overview

Plan Name	PACIFIC SLEEP DISORDER, GP PROFIT SHARING PLAN
Plan identification number	001

PACIFIC SLEEP DISORDER, GP PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
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

PACIFIC SLEEP DISORDER, GP has sponsored the creation of one or more 401k plans.

Company Name: PACIFIC SLEEP DISORDER, GP

Employer identification number (EIN): 943390387

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PACIFIC SLEEP DISORDER, GP PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-01-01 RONALD A. KASS, M.D.
001 2011-01-01 RONALD A. KASS, M.D.

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2012-01-01	RONALD A. KASS, M.D.
001	2011-01-01	RONALD A. KASS, M.D.

Plan Statistics for PACIFIC SLEEP DISORDER, GP PROFIT SHARING PLAN

401k plan membership statisitcs for PACIFIC SLEEP DISORDER, GP PROFIT SHARING PLAN

Measure Date Value
2012: PACIFIC SLEEP DISORDER, GP PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 22
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 0
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: PACIFIC SLEEP DISORDER, GP PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 22
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 19
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 3
Total of all active and inactive participants 2011-01-01 22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 22
Number of participants with account balances 2011-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2012: PACIFIC SLEEP DISORDER, GP PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	22
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	0
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: PACIFIC SLEEP DISORDER, GP PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	22
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	19
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	3
Total of all active and inactive participants	2011-01-01	22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	22
Number of participants with account balances	2011-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on PACIFIC SLEEP DISORDER, GP PROFIT SHARING PLAN

Measure	Date	Value
2012 : PACIFIC SLEEP DISORDER, GP PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan	2012-09-30	$-1,924,090
Total income from all sources	2012-09-30	$72,316
Expenses. Total of all expenses incurred	2012-09-30	$4,456
Total plan assets at end of year	2012-09-30	$0
Total plan assets at beginning of year	2012-09-30	$1,856,230
Value of fidelity bond covering the plan	2012-09-30	$2,000,000
Expenses. Other expenses not covered elsewhere	2012-09-30	$4,456
Other income received	2012-09-30	$72,316
Net income (gross income less expenses)	2012-09-30	$67,860
Net plan assets at end of year (total assets less liabilities)	2012-09-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-09-30	$1,856,230
2011 : PACIFIC SLEEP DISORDER, GP PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$227,640
Expenses. Total of all expenses incurred	2011-12-31	$9,823
Benefits paid (including direct rollovers)	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$1,856,230
Total plan assets at beginning of year	2011-12-31	$1,638,413
Value of fidelity bond covering the plan	2011-12-31	$2,000,000
Total contributions received or receivable from participants	2011-12-31	$0
Expenses. Other expenses not covered elsewhere	2011-12-31	$9,823
Contributions received from other sources (not participants or employers)	2011-12-31	$194,634
Other income received	2011-12-31	$33,006
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$217,817
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,856,230
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,638,413
Assets. Value of participant loans	2011-12-31	$29,292
Total contributions received or receivable from employer(s)	2011-12-31	$0
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$0
2010 : PACIFIC SLEEP DISORDER, GP PROFIT SHARING PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$260,469
Expenses. Total of all expenses incurred	2010-12-31	$6,918
Benefits paid (including direct rollovers)	2010-12-31	$1,843
Total plan assets at end of year	2010-12-31	$1,638,413
Total plan assets at beginning of year	2010-12-31	$1,384,862
Value of fidelity bond covering the plan	2010-12-31	$2,000,000
Total contributions received or receivable from participants	2010-12-31	$0
Expenses. Other expenses not covered elsewhere	2010-12-31	$5,075
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$124,489
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$253,551
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,638,413
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,384,862
Assets. Value of participant loans	2010-12-31	$37,580
Total contributions received or receivable from employer(s)	2010-12-31	$135,980
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$0

Form 5500 Responses for PACIFIC SLEEP DISORDER, GP PROFIT SHARING PLAN

2012: PACIFIC SLEEP DISORDER, GP 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	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PACIFIC SLEEP DISORDER, GP 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

Potentially related plans

PACIFIC SLEEP MEDICINE SERVICES 401(K) PROFIT SHARING PLAN [EIN = 954627729]

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Company Name:	PACIFIC SLEEP DISORDER, GP
Employer identification number (EIN):	943390387
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)