401k Plan data: SEAN S. BAHRI MD, INC. DEFINED BENEFIT PLAN plan

SEAN S. BAHRI MD, INC. DEFINED BENEFIT PLAN 401k Plan overview

Plan Name	SEAN S. BAHRI MD, INC. DEFINED BENEFIT PLAN
Plan identification number	001

SEAN S. BAHRI MD, INC. DEFINED BENEFIT PLAN Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Benefits are primarily pay related 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

SEAN S. BAHRI, M.D., INC. has sponsored the creation of one or more 401k plans.

Company Name: SEAN S. BAHRI, M.D., INC.

Employer identification number (EIN): 330731445

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

Additional information about SEAN S. BAHRI, M.D., INC.

Jurisdiction of Incorporation: California Department of State

Incorporation Date: 1996-11-13

Company Identification Number: C1904804

Legal Registered Office Address: 1401 Avocado Ave Ste 903

Newport Beach
United States of America (USA)
92660

More information about SEAN S. BAHRI, M.D., INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SEAN S. BAHRI MD, INC. DEFINED BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-09-01
001 2012-09-01 SEAN BAHRI SEAN BAHRI 2014-06-05
001 2011-09-01 SEAN BAHRI SEAN BAHRI 2013-06-06
001 2010-09-01 SEAN BAHRI SEAN BAHRI 2012-06-12
001 2009-09-01 SEAN BAHRI SEAN BAHRI 2011-06-14

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2013-09-01
001	2012-09-01	SEAN BAHRI	SEAN BAHRI	2014-06-05
001	2011-09-01	SEAN BAHRI	SEAN BAHRI	2013-06-06
001	2010-09-01	SEAN BAHRI	SEAN BAHRI	2012-06-12
001	2009-09-01	SEAN BAHRI	SEAN BAHRI	2011-06-14

Plan Statistics for SEAN S. BAHRI MD, INC. DEFINED BENEFIT PLAN

401k plan membership statisitcs for SEAN S. BAHRI MD, INC. DEFINED BENEFIT PLAN

Measure Date Value
2013: SEAN S. BAHRI MD, INC. DEFINED BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-09-01 5
Total number of active participants reported on line 7a of the Form 5500 2013-09-01 0
Number of retired or separated participants receiving benefits 2013-09-01 0
Number of other retired or separated participants entitled to future benefits 2013-09-01 0
Total of all active and inactive participants 2013-09-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-09-01 0
Total participants 2013-09-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-09-01 0
2012: SEAN S. BAHRI MD, INC. DEFINED BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-09-01 5
Total number of active participants reported on line 7a of the Form 5500 2012-09-01 5
Number of retired or separated participants receiving benefits 2012-09-01 0
Number of other retired or separated participants entitled to future benefits 2012-09-01 0
Total of all active and inactive participants 2012-09-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-09-01 0
Total participants 2012-09-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-09-01 0
2011: SEAN S. BAHRI MD, INC. DEFINED BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-09-01 5
Total number of active participants reported on line 7a of the Form 5500 2011-09-01 5
Number of retired or separated participants receiving benefits 2011-09-01 0
Number of other retired or separated participants entitled to future benefits 2011-09-01 0
Total of all active and inactive participants 2011-09-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-09-01 0
Total participants 2011-09-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-09-01 0
2010: SEAN S. BAHRI MD, INC. DEFINED BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-09-01 5
Total number of active participants reported on line 7a of the Form 5500 2010-09-01 5
Number of retired or separated participants receiving benefits 2010-09-01 0
Number of other retired or separated participants entitled to future benefits 2010-09-01 0
Total of all active and inactive participants 2010-09-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-09-01 0
Total participants 2010-09-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-09-01 0
2009: SEAN S. BAHRI MD, INC. DEFINED BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-09-01 5
Total number of active participants reported on line 7a of the Form 5500 2009-09-01 5
Number of retired or separated participants receiving benefits 2009-09-01 0
Number of other retired or separated participants entitled to future benefits 2009-09-01 0
Total of all active and inactive participants 2009-09-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-09-01 0
Total participants 2009-09-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-09-01 0

Measure	Date	Value
2013: SEAN S. BAHRI MD, INC. DEFINED BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-09-01	5
Total number of active participants reported on line 7a of the Form 5500	2013-09-01	0
Number of retired or separated participants receiving benefits	2013-09-01	0
Number of other retired or separated participants entitled to future benefits	2013-09-01	0
Total of all active and inactive participants	2013-09-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-09-01	0
Total participants	2013-09-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-09-01	0
2012: SEAN S. BAHRI MD, INC. DEFINED BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-09-01	5
Total number of active participants reported on line 7a of the Form 5500	2012-09-01	5
Number of retired or separated participants receiving benefits	2012-09-01	0
Number of other retired or separated participants entitled to future benefits	2012-09-01	0
Total of all active and inactive participants	2012-09-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-09-01	0
Total participants	2012-09-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-09-01	0
2011: SEAN S. BAHRI MD, INC. DEFINED BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-09-01	5
Total number of active participants reported on line 7a of the Form 5500	2011-09-01	5
Number of retired or separated participants receiving benefits	2011-09-01	0
Number of other retired or separated participants entitled to future benefits	2011-09-01	0
Total of all active and inactive participants	2011-09-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-09-01	0
Total participants	2011-09-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-09-01	0
2010: SEAN S. BAHRI MD, INC. DEFINED BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-09-01	5
Total number of active participants reported on line 7a of the Form 5500	2010-09-01	5
Number of retired or separated participants receiving benefits	2010-09-01	0
Number of other retired or separated participants entitled to future benefits	2010-09-01	0
Total of all active and inactive participants	2010-09-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-09-01	0
Total participants	2010-09-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-09-01	0
2009: SEAN S. BAHRI MD, INC. DEFINED BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-09-01	5
Total number of active participants reported on line 7a of the Form 5500	2009-09-01	5
Number of retired or separated participants receiving benefits	2009-09-01	0
Number of other retired or separated participants entitled to future benefits	2009-09-01	0
Total of all active and inactive participants	2009-09-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-09-01	0
Total participants	2009-09-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-09-01	0

Form 5500 Responses for SEAN S. BAHRI MD, INC. DEFINED BENEFIT PLAN

2013: SEAN S. BAHRI MD, INC. DEFINED BENEFIT PLAN 2013 form 5500 responses
2013-09-01	Type of plan entity	Single employer plan
2013-09-01	Submission has been amended	No
2013-09-01	This submission is the final filing	Yes
2013-09-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-09-01	Plan is a collectively bargained plan	No
2013-09-01	Plan funding arrangement – Section 412(e)(3) insurance Contracts	Yes
2013-09-01	Plan benefit arrangement – Section 412(e)(3) insurance Contracts	Yes
2012: SEAN S. BAHRI MD, INC. DEFINED BENEFIT PLAN 2012 form 5500 responses
2012-09-01	Type of plan entity	Single employer plan
2012-09-01	Submission has been amended	No
2012-09-01	This submission is the final filing	No
2012-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-09-01	Plan is a collectively bargained plan	No
2012-09-01	Plan funding arrangement – Section 412(e)(3) insurance Contracts	Yes
2012-09-01	Plan benefit arrangement – Section 412(e)(3) insurance Contracts	Yes
2011: SEAN S. BAHRI MD, INC. DEFINED BENEFIT PLAN 2011 form 5500 responses
2011-09-01	Type of plan entity	Single employer plan
2011-09-01	Submission has been amended	No
2011-09-01	This submission is the final filing	No
2011-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-09-01	Plan is a collectively bargained plan	No
2011-09-01	Plan funding arrangement – Section 412(e)(3) insurance Contracts	Yes
2011-09-01	Plan benefit arrangement – Section 412(e)(3) insurance Contracts	Yes
2010: SEAN S. BAHRI MD, INC. DEFINED BENEFIT PLAN 2010 form 5500 responses
2010-09-01	Type of plan entity	Single employer plan
2010-09-01	Submission has been amended	No
2010-09-01	This submission is the final filing	No
2010-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-09-01	Plan is a collectively bargained plan	No
2010-09-01	Plan funding arrangement – Section 412(e)(3) insurance Contracts	Yes
2010-09-01	Plan benefit arrangement – Section 412(e)(3) insurance Contracts	Yes
2009: SEAN S. BAHRI MD, INC. DEFINED BENEFIT PLAN 2009 form 5500 responses
2009-09-01	Type of plan entity	Single employer plan
2009-09-01	Submission has been amended	No
2009-09-01	This submission is the final filing	No
2009-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-09-01	Plan is a collectively bargained plan	No
2009-09-01	Plan funding arrangement – Section 412(e)(3) insurance Contracts	Yes
2009-09-01	Plan benefit arrangement – Section 412(e)(3) insurance Contracts	Yes

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Company Name:	SEAN S. BAHRI, M.D., INC.
Employer identification number (EIN):	330731445
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:	1996-11-13
Company Identification Number:	C1904804
Legal Registered Office Address:	1401 Avocado Ave Ste 903 Newport Beach United States of America (USA) 92660