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DR. ROBERT A. EVANS D.O. MEDICAL ARTS INC. EMPLOYEES PROFIT SHARING PLAN 401k Plan overview

Plan NameDR. ROBERT A. EVANS D.O. MEDICAL ARTS INC. EMPLOYEES PROFIT SHARING PLAN
Plan identification number 001

DR. ROBERT A. EVANS D.O. MEDICAL ARTS INC. EMPLOYEES PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing

401k Sponsoring company profile

DR. ROBERT A. EVANS D.O. MEDICAL ARTS INC. has sponsored the creation of one or more 401k plans.

Company Name:DR. ROBERT A. EVANS D.O. MEDICAL ARTS INC.
Employer identification number (EIN):341696787
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DR. ROBERT A. EVANS D.O. MEDICAL ARTS INC. EMPLOYEES PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012013-01-01
0012012-01-01TODD JACKSON2013-09-09
0012011-01-01ROBERT EVANS
0012009-01-01ROBERT EVANS
0012009-01-01 ROBERT EVANS2010-10-12

Plan Statistics for DR. ROBERT A. EVANS D.O. MEDICAL ARTS INC. EMPLOYEES PROFIT SHARING PLAN

401k plan membership statisitcs for DR. ROBERT A. EVANS D.O. MEDICAL ARTS INC. EMPLOYEES PROFIT SHARING PLAN

Measure Date Value
2011: DR. ROBERT A. EVANS D.O. MEDICAL ARTS INC. EMPLOYEES PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-013
Total number of active participants reported on line 7a of the Form 55002011-01-013
Total of all active and inactive participants2011-01-013
Total participants2011-01-013
Number of participants with account balances2011-01-013
2009: DR. ROBERT A. EVANS D.O. MEDICAL ARTS INC. EMPLOYEES PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-013
Total number of active participants reported on line 7a of the Form 55002009-01-013
Total of all active and inactive participants2009-01-013
Total participants2009-01-013
Number of participants with account balances2009-01-013

Financial Data on DR. ROBERT A. EVANS D.O. MEDICAL ARTS INC. EMPLOYEES PROFIT SHARING PLAN

Measure Date Value
2011 : DR. ROBERT A. EVANS D.O. MEDICAL ARTS INC. EMPLOYEES PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$3,643
Expenses. Total of all expenses incurred2011-12-31$34,266
Benefits paid (including direct rollovers)2011-12-31$31,157
Total plan assets at end of year2011-12-31$610,818
Total plan assets at beginning of year2011-12-31$641,441
Value of fidelity bond covering the plan2011-12-31$100,000
Expenses. Other expenses not covered elsewhere2011-12-31$3,109
Other income received2011-12-31$3,643
Net income (gross income less expenses)2011-12-31$-30,623
Net plan assets at end of year (total assets less liabilities)2011-12-31$610,818
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$641,441
Assets. Value of participant loans2011-12-31$9,226
2010 : DR. ROBERT A. EVANS D.O. MEDICAL ARTS INC. EMPLOYEES PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$63,281
Expenses. Total of all expenses incurred2010-12-31$34,511
Benefits paid (including direct rollovers)2010-12-31$31,157
Total plan assets at end of year2010-12-31$641,441
Total plan assets at beginning of year2010-12-31$612,671
Value of fidelity bond covering the plan2010-12-31$100,000
Expenses. Other expenses not covered elsewhere2010-12-31$3,354
Other income received2010-12-31$63,281
Net income (gross income less expenses)2010-12-31$28,770
Net plan assets at end of year (total assets less liabilities)2010-12-31$641,441
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$612,671
Assets. Value of participant loans2010-12-31$25,031

Form 5500 Responses for DR. ROBERT A. EVANS D.O. MEDICAL ARTS INC. EMPLOYEES PROFIT SHARING PLAN

2011: DR. ROBERT A. EVANS D.O. MEDICAL ARTS INC. EMPLOYEES PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2009: DR. ROBERT A. EVANS D.O. MEDICAL ARTS INC. EMPLOYEES PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number38926
Policy instance 1
Insurance contract or identification number38926
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number38926
Policy instance 1
Insurance contract or identification number38926
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31

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