401k Plan data: CHANG NAM KIM MD PROFIT SHARING PLAN plan

CHANG NAM KIM MD PROFIT SHARING PLAN 401k Plan overview

Plan Name	CHANG NAM KIM MD PROFIT SHARING PLAN
Plan identification number	002

CHANG NAM KIM MD PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	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

CHANG NAM KIM MD has sponsored the creation of one or more 401k plans.

Company Name: CHANG NAM KIM MD

Employer identification number (EIN): 112578238

NAIC Classification: 621112
NAIC Description: Offices of Physicians, Mental Health Specialists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHANG NAM KIM MD PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2012-01-01 CHANG NAM KIM MD CHANG NAM KIM MD 2013-05-19
002 2009-01-01 CHANG NAM KIM MD CHANG NAM KIM MD 2010-06-24

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2012-01-01	CHANG NAM KIM MD		CHANG NAM KIM MD	2013-05-19
002	2009-01-01	CHANG NAM KIM MD		CHANG NAM KIM MD	2010-06-24

Plan Statistics for CHANG NAM KIM MD PROFIT SHARING PLAN

401k plan membership statisitcs for CHANG NAM KIM MD PROFIT SHARING PLAN

Measure Date Value
2012: CHANG NAM KIM MD PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 5
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
2009: CHANG NAM KIM MD PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 4
Total of all active and inactive participants 2009-01-01 4
Total participants 2009-01-01 4
Number of participants with account balances 2009-01-01 4

Measure	Date	Value
2012: CHANG NAM KIM MD PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	5
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
2009: CHANG NAM KIM MD PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	4
Total of all active and inactive participants	2009-01-01	4
Total participants	2009-01-01	4
Number of participants with account balances	2009-01-01	4

Financial Data on CHANG NAM KIM MD PROFIT SHARING PLAN

Measure	Date	Value
2012 : CHANG NAM KIM MD PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$474
Expenses. Total of all expenses incurred	2012-12-31	$323,347
Total plan assets at end of year	2012-12-31	$0
Total plan assets at beginning of year	2012-12-31	$322,873
Other income received	2012-12-31	$474
Net income (gross income less expenses)	2012-12-31	$-322,873
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$322,873
Value of certain deemed distributions of participant loans	2012-12-31	$323,097
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$250
2011 : CHANG NAM KIM MD PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$-3,036
Total plan assets at end of year	2011-12-31	$322,873
Total plan assets at beginning of year	2011-12-31	$275,136
Other income received	2011-12-31	$-3,036
Net income (gross income less expenses)	2011-12-31	$-3,036
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$322,873
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$275,136
2010 : CHANG NAM KIM MD PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$49,658
Total plan assets at end of year	2010-12-31	$275,136
Total plan assets at beginning of year	2010-12-31	$225,478
Other income received	2010-12-31	$3,282
Net income (gross income less expenses)	2010-12-31	$49,658
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$275,136
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$225,478
Total contributions received or receivable from employer(s)	2010-12-31	$46,376
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$-46,376
Amount contributed by the employer to the plan for this plan year	2010-12-31	$46,376
2009 : CHANG NAM KIM MD PROFIT SHARING PLAN 2009 401k financial data
Minimum employer required contribution for this plan year	2009-12-31	$43,150
Amount contributed by the employer to the plan for this plan year	2009-12-31	$43,150

Form 5500 Responses for CHANG NAM KIM MD PROFIT SHARING PLAN

2012: CHANG NAM KIM MD 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	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2009: CHANG NAM KIM MD PROFIT SHARING 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:	CHANG NAM KIM MD
Employer identification number (EIN):	112578238
NAIC Classification:	621112
NAIC Description:	Offices of Physicians, Mental Health Specialists