401k Plan data: ELM UROLOGY ASSOCIATES 401K PROFIT SHARING PLAN plan

ELM UROLOGY ASSOCIATES 401K PROFIT SHARING PLAN 401k Plan overview

Plan Name	ELM UROLOGY ASSOCIATES 401K PROFIT SHARING PLAN
Plan identification number	001

ELM UROLOGY ASSOCIATES 401K PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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

ELM UROLOGY ASSOCIATES PC has sponsored the creation of one or more 401k plans.

Company Name: ELM UROLOGY ASSOCIATES PC

Employer identification number (EIN): 113182906

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ELM UROLOGY ASSOCIATES 401K PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 LARRY LEFOLDT
001 2014-01-01 LARRY LEFOLDT 2015-07-17
001 2013-01-01 LARRY LEFOLDT 2014-06-23
001 2012-01-01 LARRY LEFOLDT 2013-07-08
001 2011-01-01 LARRY LEFOLDT
001 2010-01-01 LARRY LEFOLDT

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2015-01-01	LARRY LEFOLDT
001	2014-01-01	LARRY LEFOLDT	2015-07-17
001	2013-01-01	LARRY LEFOLDT	2014-06-23
001	2012-01-01	LARRY LEFOLDT	2013-07-08
001	2011-01-01	LARRY LEFOLDT
001	2010-01-01	LARRY LEFOLDT

Plan Statistics for ELM UROLOGY ASSOCIATES 401K PROFIT SHARING PLAN

401k plan membership statisitcs for ELM UROLOGY ASSOCIATES 401K PROFIT SHARING PLAN

Measure Date Value
2015: ELM UROLOGY ASSOCIATES 401K PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2011: ELM UROLOGY ASSOCIATES 401K PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 0
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 9
Total of all active and inactive participants 2011-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 1
Total participants 2011-01-01 10
Number of participants with account balances 2011-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: ELM UROLOGY ASSOCIATES 401K PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 0
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 9
Total of all active and inactive participants 2010-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 1
Total participants 2010-01-01 10
Number of participants with account balances 2010-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0

Measure	Date	Value
2015: ELM UROLOGY ASSOCIATES 401K PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2011: ELM UROLOGY ASSOCIATES 401K PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
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	9
Total of all active and inactive participants	2011-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	1
Total participants	2011-01-01	10
Number of participants with account balances	2011-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: ELM UROLOGY ASSOCIATES 401K PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	0
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	9
Total of all active and inactive participants	2010-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	1
Total participants	2010-01-01	10
Number of participants with account balances	2010-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0

Financial Data on ELM UROLOGY ASSOCIATES 401K PROFIT SHARING PLAN

Measure	Date	Value
2015 : ELM UROLOGY ASSOCIATES 401K PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-11-30	$285,435
Expenses. Total of all expenses incurred	2015-11-30	$365,177
Benefits paid (including direct rollovers)	2015-11-30	$360,273
Total plan assets at end of year	2015-11-30	$0
Total plan assets at beginning of year	2015-11-30	$79,742
Contributions received from other sources (not participants or employers)	2015-11-30	$88
Other income received	2015-11-30	$19
Noncash contributions received	2015-11-30	$285,328
Net income (gross income less expenses)	2015-11-30	$-79,742
Net plan assets at end of year (total assets less liabilities)	2015-11-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-11-30	$79,742
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2015-11-30	$18,680
Expenses. Administrative service providers (salaries,fees and commissions)	2015-11-30	$4,904
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-11-30	$0
2011 : ELM UROLOGY ASSOCIATES 401K PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$413,408
Expenses. Total of all expenses incurred	2011-12-31	$191,824
Benefits paid (including direct rollovers)	2011-12-31	$187,588
Total plan assets at end of year	2011-12-31	$313,034
Total plan assets at beginning of year	2011-12-31	$91,450
Value of fidelity bond covering the plan	2011-12-31	$20,000
Total contributions received or receivable from participants	2011-12-31	$187,588
Contributions received from other sources (not participants or employers)	2011-12-31	$224,158
Other income received	2011-12-31	$1,662
Net income (gross income less expenses)	2011-12-31	$221,584
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$313,034
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$91,450
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$4,236
2010 : ELM UROLOGY ASSOCIATES 401K PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$2,991
Total plan assets at end of year	2010-12-31	$91,450
Total plan assets at beginning of year	2010-12-31	$88,459
Other income received	2010-12-31	$2,991
Net income (gross income less expenses)	2010-12-31	$2,991
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$91,450
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$88,459

Form 5500 Responses for ELM UROLOGY ASSOCIATES 401K PROFIT SHARING PLAN

2015: ELM UROLOGY ASSOCIATES 401K PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	This submission is the final filing	Yes
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2011: ELM UROLOGY ASSOCIATES 401K 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
2010: ELM UROLOGY ASSOCIATES 401K PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	ELM UROLOGY ASSOCIATES PC
Employer identification number (EIN):	113182906
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)