401k Plan data: JAMES F. PIERCE, M.D., INC. PROFIT SHARING PLAN plan

JAMES F. PIERCE, M.D., INC. PROFIT SHARING PLAN 401k Plan overview

Plan Name	JAMES F. PIERCE, M.D., INC. PROFIT SHARING PLAN
Plan identification number	004

JAMES F. PIERCE, M.D., INC. 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

401k Sponsoring company profile

JAMES F. PIERCE, M.D., INC. has sponsored the creation of one or more 401k plans.

Company Name: JAMES F. PIERCE, M.D., INC.

Employer identification number (EIN): 990187369

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JAMES F. PIERCE, 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 2012-01-01 JAMES F. PIERCE
004 2011-01-01 JAMES F. PIERCE
004 2009-01-01 JAMES F. PIERCE JAMES F. PIERCE 2010-07-25

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
004	2012-01-01	JAMES F. PIERCE
004	2011-01-01	JAMES F. PIERCE
004	2009-01-01	JAMES F. PIERCE	JAMES F. PIERCE	2010-07-25

Plan Statistics for JAMES F. PIERCE, M.D., INC. PROFIT SHARING PLAN

401k plan membership statisitcs for JAMES F. PIERCE, M.D., INC. PROFIT SHARING PLAN

Measure Date Value
2012: JAMES F. PIERCE, M.D., INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2
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: JAMES F. PIERCE, M.D., INC. 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
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 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 2
Number of participants with account balances 2011-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: JAMES F. PIERCE, M.D., INC. 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
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 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 2
Number of participants with account balances 2009-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2012: JAMES F. PIERCE, M.D., INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2
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: JAMES F. PIERCE, M.D., INC. 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
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	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	2
Number of participants with account balances	2011-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: JAMES F. PIERCE, M.D., INC. 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
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	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	2
Number of participants with account balances	2009-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on JAMES F. PIERCE, M.D., INC. PROFIT SHARING PLAN

Measure	Date	Value
2012 : JAMES F. PIERCE, M.D., INC. PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan	2012-10-31	$0
Total plan liabilities at end of year	2012-10-31	$0
Total plan liabilities at beginning of year	2012-10-31	$0
Total income from all sources	2012-10-31	$111,419
Expenses. Total of all expenses incurred	2012-10-31	$1,282,948
Benefits paid (including direct rollovers)	2012-10-31	$1,273,259
Total plan assets at end of year	2012-10-31	$0
Total plan assets at beginning of year	2012-10-31	$1,171,529
Value of fidelity bond covering the plan	2012-10-31	$425,000
Assets. Value of tangible personal property	2012-10-31	$0
Total contributions received or receivable from participants	2012-10-31	$0
Expenses. Other expenses not covered elsewhere	2012-10-31	$0
Contributions received from other sources (not participants or employers)	2012-10-31	$0
Other income received	2012-10-31	$111,419
Noncash contributions received	2012-10-31	$0
Net income (gross income less expenses)	2012-10-31	$-1,171,529
Net plan assets at end of year (total assets less liabilities)	2012-10-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-10-31	$1,171,529
Total contributions received or receivable from employer(s)	2012-10-31	$0
Value of certain deemed distributions of participant loans	2012-10-31	$0
Value of corrective distributions	2012-10-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-10-31	$9,689
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-10-31	$90,500
2011 : JAMES F. PIERCE, M.D., INC. 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	$-53,407
Expenses. Total of all expenses incurred	2011-12-31	$131,293
Benefits paid (including direct rollovers)	2011-12-31	$120,000
Total plan assets at end of year	2011-12-31	$1,171,529
Total plan assets at beginning of year	2011-12-31	$1,356,229
Value of fidelity bond covering the plan	2011-12-31	$425,000
Assets. Value of tangible personal property	2011-12-31	$138,500
Total contributions received or receivable from participants	2011-12-31	$0
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-53,407
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$-184,700
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,171,529
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,356,229
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	$11,293
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$106,000
2010 : JAMES F. PIERCE, M.D., INC. 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	$36,787
Expenses. Total of all expenses incurred	2010-12-31	$138,298
Benefits paid (including direct rollovers)	2010-12-31	$125,000
Total plan assets at end of year	2010-12-31	$1,356,229
Total plan assets at beginning of year	2010-12-31	$1,457,740
Value of fidelity bond covering the plan	2010-12-31	$425,000
Assets. Value of tangible personal property	2010-12-31	$244,500
Total contributions received or receivable from participants	2010-12-31	$0
Expenses. Other expenses not covered elsewhere	2010-12-31	$13,298
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$36,787
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$-101,511
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,356,229
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,457,740
Total contributions received or receivable from employer(s)	2010-12-31	$0
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$110,000
2009 : JAMES F. PIERCE, M.D., INC. PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for JAMES F. PIERCE, M.D., INC. PROFIT SHARING PLAN

2012: JAMES F. PIERCE, 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	Yes
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: JAMES F. PIERCE, 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
2009: JAMES F. PIERCE, M.D., INC. PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	JAMES F. PIERCE, M.D., INC.
Employer identification number (EIN):	990187369
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)