401k Plan data: PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST plan

PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan Name	PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST
Plan identification number	001

PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing

401k Sponsoring company profile

PRESTON S. CLARK, M.D., P.A. has sponsored the creation of one or more 401k plans.

Company Name: PRESTON S. CLARK, M.D., P.A.

Employer identification number (EIN): 561276153

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-05-01
001 2015-05-01 PRESTON S. CLARK, M.D. PRESTON S. CLARK, M.D. 2016-12-06
001 2014-05-01 PRESTON S. CLARK, M.D. PRESTON S. CLARK, M.D. 2016-12-06
001 2013-05-01 PRESTON S. CLARK, M.D. PRESTON S. CLARK, M.D. 2016-12-05
001 2012-05-01 PRESTON S. CLARK, M.D. PRESTON S. CLARK, M.D. 2013-11-22
001 2011-05-01 PRESTON S. CLARK, M.D. PRESTON S. CLARK, M.D. 2012-11-27
001 2010-05-01 PRESTON S. CLARK, M.D. PRESTON S. CLARK, M.D. 2011-12-01

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2019-05-01
001	2015-05-01	PRESTON S. CLARK, M.D.	PRESTON S. CLARK, M.D.	2016-12-06
001	2014-05-01	PRESTON S. CLARK, M.D.	PRESTON S. CLARK, M.D.	2016-12-06
001	2013-05-01	PRESTON S. CLARK, M.D.	PRESTON S. CLARK, M.D.	2016-12-05
001	2012-05-01	PRESTON S. CLARK, M.D.	PRESTON S. CLARK, M.D.	2013-11-22
001	2011-05-01	PRESTON S. CLARK, M.D.	PRESTON S. CLARK, M.D.	2012-11-27
001	2010-05-01	PRESTON S. CLARK, M.D.	PRESTON S. CLARK, M.D.	2011-12-01

Plan Statistics for PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST

Measure Date Value
2019: PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year 2019-05-01 3
Total number of active participants reported on line 7a of the Form 5500 2019-05-01 0
Number of retired or separated participants receiving benefits 2019-05-01 0
Number of other retired or separated participants entitled to future benefits 2019-05-01 0
Total of all active and inactive participants 2019-05-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-05-01 0
Total participants 2019-05-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-05-01 0
2015: PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year 2015-05-01 3
Total number of active participants reported on line 7a of the Form 5500 2015-05-01 3
Number of retired or separated participants receiving benefits 2015-05-01 0
Number of other retired or separated participants entitled to future benefits 2015-05-01 0
Total of all active and inactive participants 2015-05-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-05-01 0
Total participants 2015-05-01 3
Number of participants with account balances 2015-05-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-05-01 0
2014: PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year 2014-05-01 3
Total number of active participants reported on line 7a of the Form 5500 2014-05-01 3
Number of retired or separated participants receiving benefits 2014-05-01 0
Number of other retired or separated participants entitled to future benefits 2014-05-01 0
Total of all active and inactive participants 2014-05-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-05-01 0
Total participants 2014-05-01 3
Number of participants with account balances 2014-05-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-05-01 0
2013: PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year 2013-05-01 3
Total number of active participants reported on line 7a of the Form 5500 2013-05-01 3
Number of retired or separated participants receiving benefits 2013-05-01 0
Number of other retired or separated participants entitled to future benefits 2013-05-01 0
Total of all active and inactive participants 2013-05-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-05-01 0
Total participants 2013-05-01 3
Number of participants with account balances 2013-05-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-05-01 0
2012: PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year 2012-05-01 3
Total number of active participants reported on line 7a of the Form 5500 2012-05-01 3
Number of retired or separated participants receiving benefits 2012-05-01 0
Number of other retired or separated participants entitled to future benefits 2012-05-01 0
Total of all active and inactive participants 2012-05-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-05-01 0
Total participants 2012-05-01 3
Number of participants with account balances 2012-05-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-05-01 0
2011: PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year 2011-05-01 3
Total number of active participants reported on line 7a of the Form 5500 2011-05-01 3
Number of retired or separated participants receiving benefits 2011-05-01 0
Number of other retired or separated participants entitled to future benefits 2011-05-01 0
Total of all active and inactive participants 2011-05-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-05-01 0
Total participants 2011-05-01 3
Number of participants with account balances 2011-05-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-05-01 0
2010: PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year 2010-05-01 4
Total number of active participants reported on line 7a of the Form 5500 2010-05-01 3
Number of retired or separated participants receiving benefits 2010-05-01 0
Number of other retired or separated participants entitled to future benefits 2010-05-01 1
Total of all active and inactive participants 2010-05-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-05-01 0
Total participants 2010-05-01 4
Number of participants with account balances 2010-05-01 4

Measure	Date	Value
2019: PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year	2019-05-01	3
Total number of active participants reported on line 7a of the Form 5500	2019-05-01	0
Number of retired or separated participants receiving benefits	2019-05-01	0
Number of other retired or separated participants entitled to future benefits	2019-05-01	0
Total of all active and inactive participants	2019-05-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-05-01	0
Total participants	2019-05-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-05-01	0
2015: PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year	2015-05-01	3
Total number of active participants reported on line 7a of the Form 5500	2015-05-01	3
Number of retired or separated participants receiving benefits	2015-05-01	0
Number of other retired or separated participants entitled to future benefits	2015-05-01	0
Total of all active and inactive participants	2015-05-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-05-01	0
Total participants	2015-05-01	3
Number of participants with account balances	2015-05-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-05-01	0
2014: PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year	2014-05-01	3
Total number of active participants reported on line 7a of the Form 5500	2014-05-01	3
Number of retired or separated participants receiving benefits	2014-05-01	0
Number of other retired or separated participants entitled to future benefits	2014-05-01	0
Total of all active and inactive participants	2014-05-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-05-01	0
Total participants	2014-05-01	3
Number of participants with account balances	2014-05-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-05-01	0
2013: PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year	2013-05-01	3
Total number of active participants reported on line 7a of the Form 5500	2013-05-01	3
Number of retired or separated participants receiving benefits	2013-05-01	0
Number of other retired or separated participants entitled to future benefits	2013-05-01	0
Total of all active and inactive participants	2013-05-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-05-01	0
Total participants	2013-05-01	3
Number of participants with account balances	2013-05-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-05-01	0
2012: PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year	2012-05-01	3
Total number of active participants reported on line 7a of the Form 5500	2012-05-01	3
Number of retired or separated participants receiving benefits	2012-05-01	0
Number of other retired or separated participants entitled to future benefits	2012-05-01	0
Total of all active and inactive participants	2012-05-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-05-01	0
Total participants	2012-05-01	3
Number of participants with account balances	2012-05-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-05-01	0
2011: PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-05-01	3
Total number of active participants reported on line 7a of the Form 5500	2011-05-01	3
Number of retired or separated participants receiving benefits	2011-05-01	0
Number of other retired or separated participants entitled to future benefits	2011-05-01	0
Total of all active and inactive participants	2011-05-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-05-01	0
Total participants	2011-05-01	3
Number of participants with account balances	2011-05-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-05-01	0
2010: PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year	2010-05-01	4
Total number of active participants reported on line 7a of the Form 5500	2010-05-01	3
Number of retired or separated participants receiving benefits	2010-05-01	0
Number of other retired or separated participants entitled to future benefits	2010-05-01	1
Total of all active and inactive participants	2010-05-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-05-01	0
Total participants	2010-05-01	4
Number of participants with account balances	2010-05-01	4

Financial Data on PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST

Measure	Date	Value
2019 : PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2019 401k financial data
Transfers to/from the plan	2019-09-30	$-79,015
Total income from all sources	2019-09-30	$-1,153
Total plan assets at end of year	2019-09-30	$0
Total plan assets at beginning of year	2019-09-30	$80,168
Value of fidelity bond covering the plan	2019-09-30	$50,000
Other income received	2019-09-30	$-1,153
Net income (gross income less expenses)	2019-09-30	$-1,153
Net plan assets at end of year (total assets less liabilities)	2019-09-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2019-09-30	$80,168
Total income from all sources	2019-04-30	$592
Expenses. Total of all expenses incurred	2019-04-30	$1
Total plan assets at end of year	2019-04-30	$80,168
Total plan assets at beginning of year	2019-04-30	$79,577
Value of fidelity bond covering the plan	2019-04-30	$50,000
Expenses. Other expenses not covered elsewhere	2019-04-30	$1
Other income received	2019-04-30	$592
Net income (gross income less expenses)	2019-04-30	$591
Net plan assets at end of year (total assets less liabilities)	2019-04-30	$80,168
Net plan assets at beginning of year (total assets less liabilities)	2019-04-30	$79,577
2016 : PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2016 401k financial data
Total income from all sources	2016-04-30	$905
Expenses. Total of all expenses incurred	2016-04-30	$1
Total plan assets at end of year	2016-04-30	$85,854
Total plan assets at beginning of year	2016-04-30	$84,950
Value of fidelity bond covering the plan	2016-04-30	$50,000
Expenses. Other expenses not covered elsewhere	2016-04-30	$1
Other income received	2016-04-30	$905
Net income (gross income less expenses)	2016-04-30	$904
Net plan assets at end of year (total assets less liabilities)	2016-04-30	$85,854
Net plan assets at beginning of year (total assets less liabilities)	2016-04-30	$84,950
2015 : PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2015 401k financial data
Total income from all sources	2015-04-30	$-14,261
Total plan assets at end of year	2015-04-30	$84,950
Total plan assets at beginning of year	2015-04-30	$99,211
Value of fidelity bond covering the plan	2015-04-30	$50,000
Other income received	2015-04-30	$-14,261
Net income (gross income less expenses)	2015-04-30	$-14,261
Net plan assets at end of year (total assets less liabilities)	2015-04-30	$84,950
Net plan assets at beginning of year (total assets less liabilities)	2015-04-30	$99,211
2014 : PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2014 401k financial data
Total income from all sources	2014-04-30	$-11,657
Expenses. Total of all expenses incurred	2014-04-30	$9
Total plan assets at end of year	2014-04-30	$99,211
Total plan assets at beginning of year	2014-04-30	$110,877
Value of fidelity bond covering the plan	2014-04-30	$50,000
Expenses. Other expenses not covered elsewhere	2014-04-30	$9
Other income received	2014-04-30	$-11,657
Net income (gross income less expenses)	2014-04-30	$-11,666
Net plan assets at end of year (total assets less liabilities)	2014-04-30	$99,211
Net plan assets at beginning of year (total assets less liabilities)	2014-04-30	$110,877
2013 : PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2013 401k financial data
Total income from all sources	2013-04-30	$-44,790
Total plan assets at end of year	2013-04-30	$110,877
Total plan assets at beginning of year	2013-04-30	$155,667
Value of fidelity bond covering the plan	2013-04-30	$50,000
Other income received	2013-04-30	$-44,790
Net income (gross income less expenses)	2013-04-30	$-44,790
Net plan assets at end of year (total assets less liabilities)	2013-04-30	$110,877
Net plan assets at beginning of year (total assets less liabilities)	2013-04-30	$155,667
2012 : PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2012 401k financial data
Total income from all sources	2012-04-30	$5,489
Total plan assets at end of year	2012-04-30	$155,667
Total plan assets at beginning of year	2012-04-30	$150,178
Value of fidelity bond covering the plan	2012-04-30	$50,000
Other income received	2012-04-30	$5,489
Net income (gross income less expenses)	2012-04-30	$5,489
Net plan assets at end of year (total assets less liabilities)	2012-04-30	$155,667
Net plan assets at beginning of year (total assets less liabilities)	2012-04-30	$150,178
2011 : PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2011 401k financial data
Total income from all sources	2011-04-30	$8,811
Total plan assets at end of year	2011-04-30	$150,178
Total plan assets at beginning of year	2011-04-30	$141,367
Value of fidelity bond covering the plan	2011-04-30	$50,000
Other income received	2011-04-30	$8,811
Net income (gross income less expenses)	2011-04-30	$8,811
Net plan assets at end of year (total assets less liabilities)	2011-04-30	$150,178
Net plan assets at beginning of year (total assets less liabilities)	2011-04-30	$141,367

Form 5500 Responses for PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST

2019: PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2019 form 5500 responses
2019-05-01	Type of plan entity	Single employer plan
2019-05-01	This submission is the final filing	Yes
2019-05-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2019-05-01	Plan funding arrangement – Trust	Yes
2019-05-01	Plan benefit arrangement – Insurance	Yes
2019-05-01	Plan benefit arrangement - Trust	Yes
2015: PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2015 form 5500 responses
2015-05-01	Type of plan entity	Single employer plan
2015-05-01	Plan funding arrangement – Trust	Yes
2015-05-01	Plan benefit arrangement – Insurance	Yes
2015-05-01	Plan benefit arrangement - Trust	Yes
2014: PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2014 form 5500 responses
2014-05-01	Type of plan entity	Single employer plan
2014-05-01	Plan funding arrangement – Trust	Yes
2014-05-01	Plan benefit arrangement – Insurance	Yes
2014-05-01	Plan benefit arrangement - Trust	Yes
2013: PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2013 form 5500 responses
2013-05-01	Type of plan entity	Single employer plan
2013-05-01	Plan funding arrangement – Trust	Yes
2013-05-01	Plan benefit arrangement – Insurance	Yes
2013-05-01	Plan benefit arrangement - Trust	Yes
2012: PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2012 form 5500 responses
2012-05-01	Type of plan entity	Single employer plan
2012-05-01	Plan funding arrangement – Trust	Yes
2012-05-01	Plan benefit arrangement - Trust	Yes
2011: PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2011 form 5500 responses
2011-05-01	Type of plan entity	Single employer plan
2011-05-01	Plan funding arrangement – Trust	Yes
2011-05-01	Plan benefit arrangement - Trust	Yes
2010: PRESTON S. CLARK, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2010 form 5500 responses
2010-05-01	Type of plan entity	Single employer plan
2010-05-01	Submission has been amended	Yes
2010-05-01	Plan funding arrangement – Trust	Yes
2010-05-01	Plan benefit arrangement - Trust	Yes

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Company Name:	PRESTON S. CLARK, M.D., P.A.
Employer identification number (EIN):	561276153
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)