401k Plan data: MINCH FONG M.D., INC. 401(K) PROFIT SHARING PLAN & TRUST plan

MINCH FONG M.D., INC. 401(K) PROFIT SHARING PLAN & TRUST 401k Plan overview

Plan Name	MINCH FONG M.D., INC. 401(K) PROFIT SHARING PLAN & TRUST
Plan identification number	001

MINCH FONG M.D., INC. 401(K) PROFIT SHARING PLAN & TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
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.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan covering Self-Employed individuals.
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.
Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

MINCH FONG M.D., INC. has sponsored the creation of one or more 401k plans.

Company Name: MINCH FONG M.D., INC.

Employer identification number (EIN): 330942301

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MINCH FONG M.D., INC. 401(K) PROFIT SHARING PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 SARAH ANTONIO
001 2013-01-01 SARAH ANTONIO
001 2012-01-01 SARAH ANTONIO
001 2011-01-01 SARAH ANTONIO
001 2010-01-01 SARAH ANTONIO
001 2009-01-01 JANICE PAJTASH
001 2007-01-01 JANICE PAJTASH

Plan id#	Filing Submission Date	Name of Administrator
001	2014-01-01	SARAH ANTONIO
001	2013-01-01	SARAH ANTONIO
001	2012-01-01	SARAH ANTONIO
001	2011-01-01	SARAH ANTONIO
001	2010-01-01	SARAH ANTONIO
001	2009-01-01	JANICE PAJTASH
001	2007-01-01	JANICE PAJTASH

Financial Data on MINCH FONG M.D., INC. 401(K) PROFIT SHARING PLAN & TRUST

Measure	Date	Value
2014 : MINCH FONG M.D., INC. 401(K) PROFIT SHARING PLAN & TRUST 2014 401k financial data
Transfers to/from the plan	2014-12-31	$1,296,862
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$319,497
Expenses. Total of all expenses incurred	2014-12-31	$20,392
Benefits paid (including direct rollovers)	2014-12-31	$19,547
Total plan assets at end of year	2014-12-31	$2,581,715
Total plan assets at beginning of year	2014-12-31	$985,748
Value of fidelity bond covering the plan	2014-12-31	$40,000
Total contributions received or receivable from participants	2014-12-31	$142,645
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$125,528
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$299,105
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,581,715
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$985,748
Assets. Value of participant loans	2014-12-31	$2,792
Total contributions received or receivable from employer(s)	2014-12-31	$51,324
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$845
2013 : MINCH FONG M.D., INC. 401(K) PROFIT SHARING PLAN & TRUST 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total plan liabilities at end of year	2013-12-31	$0
Total income from all sources	2013-12-31	$315,275
Expenses. Total of all expenses incurred	2013-12-31	$29,224
Benefits paid (including direct rollovers)	2013-12-31	$28,461
Total plan assets at end of year	2013-12-31	$985,748
Total plan assets at beginning of year	2013-12-31	$699,697
Value of fidelity bond covering the plan	2013-12-31	$40,000
Total contributions received or receivable from participants	2013-12-31	$66,437
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$226,226
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$286,051
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$985,748
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$699,697
Assets. Value of participant loans	2013-12-31	$1,932
Total contributions received or receivable from employer(s)	2013-12-31	$22,612
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$763
2012 : MINCH FONG M.D., INC. 401(K) PROFIT SHARING PLAN & TRUST 2012 401k financial data
Total income from all sources	2012-12-31	$194,128
Expenses. Total of all expenses incurred	2012-12-31	$608
Total plan assets at end of year	2012-12-31	$699,697
Total plan assets at beginning of year	2012-12-31	$506,177
Value of fidelity bond covering the plan	2012-12-31	$40,000
Total contributions received or receivable from participants	2012-12-31	$63,179
Contributions received from other sources (not participants or employers)	2012-12-31	$24,735
Other income received	2012-12-31	$86,519
Net income (gross income less expenses)	2012-12-31	$193,520
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$699,697
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$506,177
Assets. Value of participant loans	2012-12-31	$2,262
Total contributions received or receivable from employer(s)	2012-12-31	$19,695
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$608
2011 : MINCH FONG M.D., INC. 401(K) PROFIT SHARING PLAN & TRUST 2011 401k financial data
Total income from all sources	2011-12-31	$65,857
Expenses. Total of all expenses incurred	2011-12-31	$21,031
Benefits paid (including direct rollovers)	2011-12-31	$20,513
Total plan assets at end of year	2011-12-31	$506,177
Total plan assets at beginning of year	2011-12-31	$461,351
Value of fidelity bond covering the plan	2011-12-31	$40,000
Total contributions received or receivable from participants	2011-12-31	$63,291
Other income received	2011-12-31	$-15,115
Net income (gross income less expenses)	2011-12-31	$44,826
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$506,177
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$461,351
Assets. Value of participant loans	2011-12-31	$1,086
Total contributions received or receivable from employer(s)	2011-12-31	$17,681
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$518
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : MINCH FONG M.D., INC. 401(K) PROFIT SHARING PLAN & TRUST 2010 401k financial data
Total income from all sources	2010-12-31	$145,715
Expenses. Total of all expenses incurred	2010-12-31	$24,231
Benefits paid (including direct rollovers)	2010-12-31	$23,495
Total plan assets at end of year	2010-12-31	$461,351
Total plan assets at beginning of year	2010-12-31	$339,867
Total contributions received or receivable from participants	2010-12-31	$63,090
Other income received	2010-12-31	$66,183
Net income (gross income less expenses)	2010-12-31	$121,484
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$461,351
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$339,867
Assets. Value of participant loans	2010-12-31	$12,998
Total contributions received or receivable from employer(s)	2010-12-31	$16,442
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$736
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0

Form 5500 Responses for MINCH FONG M.D., INC. 401(K) PROFIT SHARING PLAN & TRUST

2014: MINCH FONG M.D., INC. 401(K) PROFIT SHARING PLAN & TRUST 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: MINCH FONG M.D., INC. 401(K) PROFIT SHARING PLAN & TRUST 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: MINCH FONG M.D., INC. 401(K) PROFIT SHARING PLAN & TRUST 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	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: MINCH FONG M.D., INC. 401(K) PROFIT SHARING PLAN & TRUST 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
2010: MINCH FONG M.D., INC. 401(K) PROFIT SHARING PLAN & TRUST 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: MINCH FONG M.D., INC. 401(K) PROFIT SHARING PLAN & TRUST 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
2007: MINCH FONG M.D., INC. 401(K) PROFIT SHARING PLAN & TRUST 2007 form 5500 responses
2007-01-01	Type of plan entity	Single employer plan
2007-01-01	Submission has been amended	No
2007-01-01	This submission is the final filing	No
2007-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-01-01	Plan is a collectively bargained plan	No
2007-01-01	Plan funding arrangement – Trust	Yes
2007-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	MINCH FONG M.D., INC.
Employer identification number (EIN):	330942301
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)