401k Plan data: J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN plan

J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN 401k Plan overview

Plan Name	J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN
Plan identification number	001

J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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

J. MICHAEL STANDEFER, M.D., P.A. has sponsored the creation of one or more 401k plans.

Company Name: J. MICHAEL STANDEFER, M.D., P.A.

Employer identification number (EIN): 201823971

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 DIANE STANDEFER DIANE STANDEFER 2017-02-07
001 2015-01-01 DIANE STANDEFER DIANE STANDEFER 2016-08-08
001 2014-01-01 J MICHAEL STANDEFER J MICHAEL STANDEFER 2015-07-13
001 2013-01-01 J MICHAEL STANDEFER J MICHAEL STANDEFER 2014-04-24
001 2012-01-01 J MICHAEL STANDEFER J MICHAEL STANDEFER 2013-06-19
001 2011-01-01 J MICHAEL STANDEFER J MICHAEL STANDEFER 2012-10-12
001 2009-01-01 J MICHAEL STANDEFER J MICHAEL STANDEFER 2010-10-05

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2016-01-01	DIANE STANDEFER	DIANE STANDEFER	2017-02-07
001	2015-01-01	DIANE STANDEFER	DIANE STANDEFER	2016-08-08
001	2014-01-01	J MICHAEL STANDEFER	J MICHAEL STANDEFER	2015-07-13
001	2013-01-01	J MICHAEL STANDEFER	J MICHAEL STANDEFER	2014-04-24
001	2012-01-01	J MICHAEL STANDEFER	J MICHAEL STANDEFER	2013-06-19
001	2011-01-01	J MICHAEL STANDEFER	J MICHAEL STANDEFER	2012-10-12
001	2009-01-01	J MICHAEL STANDEFER	J MICHAEL STANDEFER	2010-10-05

Plan Statistics for J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN

401k plan membership statisitcs for J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN

Measure Date Value
2016: J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 2
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
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2
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 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 2
Number of participants with account balances 2013-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: J MICHAEL STANDEFER MD PA 401K 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 2
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 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 2
Number of participants with account balances 2012-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: J MICHAEL STANDEFER MD PA 401K 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: J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2
Total of all active and inactive participants 2009-01-01 2
Total participants 2009-01-01 2
Number of participants with account balances 2009-01-01 2

Measure	Date	Value
2016: J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	2
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
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2
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	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	2
Number of participants with account balances	2013-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: J MICHAEL STANDEFER MD PA 401K 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	2
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	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	2
Number of participants with account balances	2012-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: J MICHAEL STANDEFER MD PA 401K 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: J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2
Total of all active and inactive participants	2009-01-01	2
Total participants	2009-01-01	2
Number of participants with account balances	2009-01-01	2

Financial Data on J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN

Measure	Date	Value
2016 : J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-11-30	$-56,379
Expenses. Total of all expenses incurred	2016-11-30	$2,052,697
Benefits paid (including direct rollovers)	2016-11-30	$2,041,491
Total plan assets at end of year	2016-11-30	$0
Total plan assets at beginning of year	2016-11-30	$2,109,076
Other income received	2016-11-30	$-56,379
Net income (gross income less expenses)	2016-11-30	$-2,109,076
Net plan assets at end of year (total assets less liabilities)	2016-11-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2016-11-30	$2,109,076
Expenses. Administrative service providers (salaries,fees and commissions)	2016-11-30	$11,206
2015 : J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$119,369
Expenses. Total of all expenses incurred	2015-12-31	$12,473
Total plan assets at end of year	2015-12-31	$2,109,076
Total plan assets at beginning of year	2015-12-31	$2,002,180
Other income received	2015-12-31	$119,369
Net income (gross income less expenses)	2015-12-31	$106,896
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$2,109,076
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$2,002,180
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$12,473
2014 : J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$214,198
Expenses. Total of all expenses incurred	2014-12-31	$10,616
Total plan assets at end of year	2014-12-31	$2,002,180
Total plan assets at beginning of year	2014-12-31	$1,798,598
Total contributions received or receivable from participants	2014-12-31	$23,000
Expenses. Other expenses not covered elsewhere	2014-12-31	$32
Contributions received from other sources (not participants or employers)	2014-12-31	$5,946
Other income received	2014-12-31	$178,355
Net income (gross income less expenses)	2014-12-31	$203,582
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,002,180
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,798,598
Total contributions received or receivable from employer(s)	2014-12-31	$6,897
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$10,584
2013 : J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$409,092
Expenses. Total of all expenses incurred	2013-12-31	$9,303
Total plan assets at end of year	2013-12-31	$1,798,598
Total plan assets at beginning of year	2013-12-31	$1,398,809
Total contributions received or receivable from participants	2013-12-31	$23,000
Expenses. Other expenses not covered elsewhere	2013-12-31	$114
Contributions received from other sources (not participants or employers)	2013-12-31	$31,441
Other income received	2013-12-31	$344,851
Net income (gross income less expenses)	2013-12-31	$399,789
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,798,598
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,398,809
Total contributions received or receivable from employer(s)	2013-12-31	$9,800
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$9,189
2012 : J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$220,820
Expenses. Total of all expenses incurred	2012-12-31	$8,417
Total plan assets at end of year	2012-12-31	$1,398,809
Total plan assets at beginning of year	2012-12-31	$1,186,406
Total contributions received or receivable from participants	2012-12-31	$11,450
Contributions received from other sources (not participants or employers)	2012-12-31	$27,189
Other income received	2012-12-31	$159,681
Net income (gross income less expenses)	2012-12-31	$212,403
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,398,809
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,186,406
Total contributions received or receivable from employer(s)	2012-12-31	$22,500
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$8,417
2011 : J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$61,209
Expenses. Total of all expenses incurred	2011-12-31	$76,022
Benefits paid (including direct rollovers)	2011-12-31	$72,158
Total plan assets at end of year	2011-12-31	$1,186,406
Total plan assets at beginning of year	2011-12-31	$1,201,219
Value of fidelity bond covering the plan	2011-12-31	$1,000,000
Total contributions received or receivable from participants	2011-12-31	$22,000
Other income received	2011-12-31	$6,709
Net income (gross income less expenses)	2011-12-31	$-14,813
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,186,406
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,201,219
Total contributions received or receivable from employer(s)	2011-12-31	$32,500
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$3,864
2010 : J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$129,995
Expenses. Total of all expenses incurred	2010-12-31	$175
Total plan assets at end of year	2010-12-31	$1,201,219
Total plan assets at beginning of year	2010-12-31	$1,071,399
Value of fidelity bond covering the plan	2010-12-31	$1,000,000
Total contributions received or receivable from participants	2010-12-31	$23,350
Other income received	2010-12-31	$72,299
Net income (gross income less expenses)	2010-12-31	$129,820
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,201,219
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,071,399
Total contributions received or receivable from employer(s)	2010-12-31	$34,346
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$175

Form 5500 Responses for J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN

2016: J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: J MICHAEL STANDEFER MD PA 401K PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: J MICHAEL STANDEFER MD PA 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
2009: J MICHAEL STANDEFER MD PA 401K 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:	J. MICHAEL STANDEFER, M.D., P.A.
Employer identification number (EIN):	201823971
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)