401k Plan data: NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST plan

NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan Name	NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST
Plan identification number	001

NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

NORTH CAROLINA PHLEBOLOGY, P.C. has sponsored the creation of one or more 401k plans.

Company Name: NORTH CAROLINA PHLEBOLOGY, P.C.

Employer identification number (EIN): 621710933

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 DON RATH
001 2014-01-01 MICHELLE JACKSON
001 2013-01-01 MICHELLE JACKSON
001 2012-01-01 DANIEL DOMAN
001 2011-01-01 DANIEL DOMAN
001 2010-01-01 DANIEL DOMAN
001 2009-01-01 DANIEL DOMAN

Plan id#	Filing Submission Date	Name of Administrator
001	2015-01-01	DON RATH
001	2014-01-01	MICHELLE JACKSON
001	2013-01-01	MICHELLE JACKSON
001	2012-01-01	DANIEL DOMAN
001	2011-01-01	DANIEL DOMAN
001	2010-01-01	DANIEL DOMAN
001	2009-01-01	DANIEL DOMAN

Plan Statistics for NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST

Measure Date Value
2015: NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1
Number of retired or separated participants receiving benefits 2015-01-01 1
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 2
Number of participants with account balances 2015-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 2
Number of participants with account balances 2014-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 2
Number of participants with account balances 2013-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 2
Number of participants with account balances 2012-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 2
Number of participants with account balances 2011-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year 2010-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 2
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 2
Number of participants with account balances 2010-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 3
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 1
Total of all active and inactive participants 2009-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 4
Number of participants with account balances 2009-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2015: NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1
Number of retired or separated participants receiving benefits	2015-01-01	1
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	2
Number of participants with account balances	2015-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	2
Number of participants with account balances	2014-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	2
Number of participants with account balances	2013-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	2
Number of participants with account balances	2012-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	2
Number of participants with account balances	2011-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year	2010-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	2
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	2
Number of participants with account balances	2010-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	3
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	1
Total of all active and inactive participants	2009-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	4
Number of participants with account balances	2009-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST

Measure	Date	Value
2015 : NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 2015 401k financial data
Total income from all sources	2015-12-31	$53,849
Expenses. Total of all expenses incurred	2015-12-31	$362,635
Benefits paid (including direct rollovers)	2015-12-31	$362,635
Total plan assets at end of year	2015-12-31	$293,015
Total plan assets at beginning of year	2015-12-31	$601,801
Total contributions received or receivable from participants	2015-12-31	$39,187
Other income received	2015-12-31	$14,662
Net income (gross income less expenses)	2015-12-31	$-308,786
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$293,015
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$601,801
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 2014 401k financial data
Total income from all sources	2014-12-31	$25,574
Expenses. Total of all expenses incurred	2014-12-31	$1,299
Total plan assets at end of year	2014-12-31	$601,801
Total plan assets at beginning of year	2014-12-31	$577,526
Total contributions received or receivable from participants	2014-12-31	$40,500
Other income received	2014-12-31	$-14,926
Net income (gross income less expenses)	2014-12-31	$24,275
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$601,801
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$577,526
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$1,299
2013 : NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 2013 401k financial data
Total income from all sources	2013-12-31	$103,243
Expenses. Total of all expenses incurred	2013-12-31	$580
Total plan assets at end of year	2013-12-31	$577,526
Total plan assets at beginning of year	2013-12-31	$474,863
Total contributions received or receivable from participants	2013-12-31	$42,104
Other income received	2013-12-31	$61,139
Net income (gross income less expenses)	2013-12-31	$102,663
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$577,526
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$474,863
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$580
2012 : NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 2012 401k financial data
Total income from all sources	2012-12-31	$73,205
Expenses. Total of all expenses incurred	2012-12-31	$580
Total plan assets at end of year	2012-12-31	$474,863
Total plan assets at beginning of year	2012-12-31	$402,238
Total contributions received or receivable from participants	2012-12-31	$39,417
Other income received	2012-12-31	$33,788
Net income (gross income less expenses)	2012-12-31	$72,625
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$474,863
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$402,238
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$580
2011 : NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 2011 401k financial data
Total income from all sources	2011-12-31	$43,625
Expenses. Total of all expenses incurred	2011-12-31	$580
Total plan assets at end of year	2011-12-31	$402,238
Total plan assets at beginning of year	2011-12-31	$359,193
Total contributions received or receivable from participants	2011-12-31	$38,500
Other income received	2011-12-31	$5,125
Net income (gross income less expenses)	2011-12-31	$43,045
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$402,238
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$359,193
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$580
2010 : NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 2010 401k financial data
Total income from all sources	2010-12-31	$52,800
Expenses. Total of all expenses incurred	2010-12-31	$8,717
Benefits paid (including direct rollovers)	2010-12-31	$8,084
Total plan assets at end of year	2010-12-31	$359,193
Total plan assets at beginning of year	2010-12-31	$315,110
Total contributions received or receivable from participants	2010-12-31	$38,519
Other income received	2010-12-31	$14,281
Net income (gross income less expenses)	2010-12-31	$44,083
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$359,193
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$315,110
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$633
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST

2015: NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 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 – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND 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: NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND 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: NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND 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 is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND 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: NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND 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 is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: NORTH CAROLINA PHLEBOLOGY, P.C. CASH OR DEFERRED PROFIT SHARING PLAN AND 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

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Company Name:	NORTH CAROLINA PHLEBOLOGY, P.C.
Employer identification number (EIN):	621710933
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)