401k Plan data: SARAVUT S. FUNG, M.D., INC. 401(K) PROFIT SHARING PLAN plan

SARAVUT S. FUNG, M.D., INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	SARAVUT S. FUNG, M.D., INC. 401(K) PROFIT SHARING PLAN
Plan identification number	003

SARAVUT S. FUNG, M.D., INC. 401(K) 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

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

Company Name: SARAVUT S. FUNG, M.D., INC.

Employer identification number (EIN): 550575545

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SARAVUT S. FUNG, M.D., INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2016-01-01 SARAVUT FUNG
003 2015-01-01 SARAVUT FUNG
003 2014-01-01 SARAVUT FUNG
003 2013-01-01 SARAVUT FUNG
003 2012-01-01 SARAVUT FUNG
003 2011-01-01 SARAVUT FUNG
003 2009-01-01 SARAVUT FUNG SARAVUT FUNG 2010-10-05

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
003	2016-01-01	SARAVUT FUNG
003	2015-01-01	SARAVUT FUNG
003	2014-01-01	SARAVUT FUNG
003	2013-01-01	SARAVUT FUNG
003	2012-01-01	SARAVUT FUNG
003	2011-01-01	SARAVUT FUNG
003	2009-01-01	SARAVUT FUNG	SARAVUT FUNG	2010-10-05

Financial Data on SARAVUT S. FUNG, M.D., INC. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2016 : SARAVUT S. FUNG, M.D., INC. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total plan liabilities at end of year	2016-12-31	$0
Total plan liabilities at beginning of year	2016-12-31	$214
Total income from all sources	2016-12-31	$-23,900
Expenses. Total of all expenses incurred	2016-12-31	$1,684,120
Benefits paid (including direct rollovers)	2016-12-31	$1,684,120
Total plan assets at end of year	2016-12-31	$0
Total plan assets at beginning of year	2016-12-31	$1,708,234
Value of fidelity bond covering the plan	2016-12-31	$300,000
Other income received	2016-12-31	$-23,900
Net income (gross income less expenses)	2016-12-31	$-1,708,020
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,708,020
Assets. Value of assets in partnership/joint-venture interests	2016-12-31	$0
Assets. Value of real-estate (other than employer real property)	2016-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : SARAVUT S. FUNG, M.D., INC. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at end of year	2015-12-31	$214
Total plan liabilities at beginning of year	2015-12-31	$4,143
Total income from all sources	2015-12-31	$77,943
Expenses. Total of all expenses incurred	2015-12-31	$62,929
Benefits paid (including direct rollovers)	2015-12-31	$62,451
Total plan assets at end of year	2015-12-31	$1,708,234
Total plan assets at beginning of year	2015-12-31	$1,697,149
Value of fidelity bond covering the plan	2015-12-31	$300,000
Total contributions received or receivable from participants	2015-12-31	$24,000
Other income received	2015-12-31	$15,011
Net income (gross income less expenses)	2015-12-31	$15,014
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,708,020
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,693,006
Assets. Value of assets in partnership/joint-venture interests	2015-12-31	$218,210
Assets. Value of real-estate (other than employer real property)	2015-12-31	$26,073
Total contributions received or receivable from employer(s)	2015-12-31	$38,932
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$478
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : SARAVUT S. FUNG, M.D., INC. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year	2014-12-31	$4,143
Total plan liabilities at beginning of year	2014-12-31	$214
Total income from all sources	2014-12-31	$64,534
Expenses. Total of all expenses incurred	2014-12-31	$118,973
Benefits paid (including direct rollovers)	2014-12-31	$118,919
Total plan assets at end of year	2014-12-31	$1,697,149
Total plan assets at beginning of year	2014-12-31	$1,747,659
Value of fidelity bond covering the plan	2014-12-31	$150,000
Total contributions received or receivable from participants	2014-12-31	$23,000
Expenses. Other expenses not covered elsewhere	2014-12-31	$54
Other income received	2014-12-31	$2,067
Net income (gross income less expenses)	2014-12-31	$-54,439
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,693,006
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,747,445
Assets. Value of assets in partnership/joint-venture interests	2014-12-31	$216,587
Assets. Value of real-estate (other than employer real property)	2014-12-31	$26,073
Total contributions received or receivable from employer(s)	2014-12-31	$39,467
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : SARAVUT S. FUNG, M.D., INC. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$214
Total plan liabilities at beginning of year	2013-12-31	$214
Total income from all sources	2013-12-31	$64,006
Expenses. Total of all expenses incurred	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$1,747,659
Total plan assets at beginning of year	2013-12-31	$1,683,653
Value of fidelity bond covering the plan	2013-12-31	$150,000
Total contributions received or receivable from participants	2013-12-31	$23,000
Other income received	2013-12-31	$4,825
Net income (gross income less expenses)	2013-12-31	$64,006
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,747,445
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,683,439
Assets. Value of assets in partnership/joint-venture interests	2013-12-31	$215,004
Assets. Value of real-estate (other than employer real property)	2013-12-31	$87,601
Total contributions received or receivable from employer(s)	2013-12-31	$36,181
2012 : SARAVUT S. FUNG, M.D., INC. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$214
Total plan liabilities at beginning of year	2012-12-31	$2,855
Total income from all sources	2012-12-31	$67,590
Expenses. Total of all expenses incurred	2012-12-31	$2,010
Benefits paid (including direct rollovers)	2012-12-31	$1,068
Total plan assets at end of year	2012-12-31	$1,683,653
Total plan assets at beginning of year	2012-12-31	$1,620,714
Value of fidelity bond covering the plan	2012-12-31	$150,000
Total contributions received or receivable from participants	2012-12-31	$22,500
Other income received	2012-12-31	$11,101
Net income (gross income less expenses)	2012-12-31	$65,580
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,683,439
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,617,859
Assets. Value of assets in partnership/joint-venture interests	2012-12-31	$213,362
Assets. Value of real-estate (other than employer real property)	2012-12-31	$112,728
Total contributions received or receivable from employer(s)	2012-12-31	$33,989
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$942
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : SARAVUT S. FUNG, M.D., INC. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$2,855
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$48,151
Expenses. Total of all expenses incurred	2011-12-31	$2,535
Benefits paid (including direct rollovers)	2011-12-31	$2,855
Total plan assets at end of year	2011-12-31	$1,620,714
Total plan assets at beginning of year	2011-12-31	$1,572,243
Value of fidelity bond covering the plan	2011-12-31	$150,000
Total contributions received or receivable from participants	2011-12-31	$22,000
Other income received	2011-12-31	$-8,473
Net income (gross income less expenses)	2011-12-31	$45,616
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,617,859
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,572,243
Assets. Value of assets in partnership/joint-venture interests	2011-12-31	$223,501
Assets. Value of real-estate (other than employer real property)	2011-12-31	$87,601
Total contributions received or receivable from employer(s)	2011-12-31	$34,624
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$-320
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : SARAVUT S. FUNG, M.D., INC. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$64,716
Expenses. Total of all expenses incurred	2010-12-31	$2,124
Total plan assets at end of year	2010-12-31	$1,572,243
Total plan assets at beginning of year	2010-12-31	$1,509,651
Value of fidelity bond covering the plan	2010-12-31	$150,000
Total contributions received or receivable from participants	2010-12-31	$22,000
Expenses. Other expenses not covered elsewhere	2010-12-31	$2,124
Other income received	2010-12-31	$7,174
Net income (gross income less expenses)	2010-12-31	$62,592
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,572,243
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,509,651
Assets. Value of assets in partnership/joint-venture interests	2010-12-31	$221,703
Assets. Value of real-estate (other than employer real property)	2010-12-31	$87,601
Total contributions received or receivable from employer(s)	2010-12-31	$35,542

Form 5500 Responses for SARAVUT S. FUNG, M.D., INC. 401(K) PROFIT SHARING PLAN

2016: SARAVUT S. FUNG, M.D., INC. 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
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)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: SARAVUT S. FUNG, M.D., INC. 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: SARAVUT S. FUNG, M.D., INC. 401(K) PROFIT SHARING PLAN 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 – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: SARAVUT S. FUNG, M.D., INC. 401(K) PROFIT SHARING PLAN 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 – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: SARAVUT S. FUNG, M.D., INC. 401(K) PROFIT SHARING PLAN 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 is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: SARAVUT S. FUNG, M.D., INC. 401(K) PROFIT SHARING PLAN 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 – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: SARAVUT S. FUNG, M.D., INC. 401(K) PROFIT SHARING PLAN 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 – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	SARAVUT S. FUNG, M.D., INC.
Employer identification number (EIN):	550575545
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)