401k Plan data: SIMON MIRELMAN, MD, PC 401(K) PROFIT SHARING PLAN plan

SIMON MIRELMAN, MD, PC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	SIMON MIRELMAN, MD, PC 401(K) PROFIT SHARING PLAN
Plan identification number	001

SIMON MIRELMAN, MD, PC 401(K) PROFIT SHARING PLAN 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
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

SIMON MIRELMAN, M.D., P.C. has sponsored the creation of one or more 401k plans.

Company Name: SIMON MIRELMAN, M.D., P.C.

Employer identification number (EIN): 631236359

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SIMON MIRELMAN, MD, PC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2011-01-01 SIMON MIRELMAN
001 2010-01-01 SIMON MIRELMAN
001 2009-01-01 SIMON MIRELMAN

Plan id#	Filing Submission Date	Name of Administrator
001	2011-01-01	SIMON MIRELMAN
001	2010-01-01	SIMON MIRELMAN
001	2009-01-01	SIMON MIRELMAN

Plan Statistics for SIMON MIRELMAN, MD, PC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for SIMON MIRELMAN, MD, PC 401(K) PROFIT SHARING PLAN

Measure Date Value
2011: SIMON MIRELMAN, MD, PC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 0
Number of participants with account balances 2011-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: SIMON MIRELMAN, MD, PC 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 3
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 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 3
Number of participants with account balances 2010-01-01 3
2009: SIMON MIRELMAN, MD, PC 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 4
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 0
Total of all active and inactive participants 2009-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 3
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 1

Measure	Date	Value
2011: SIMON MIRELMAN, MD, PC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	0
Number of participants with account balances	2011-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: SIMON MIRELMAN, MD, PC 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	3
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	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	3
Number of participants with account balances	2010-01-01	3
2009: SIMON MIRELMAN, MD, PC 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	4
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	0
Total of all active and inactive participants	2009-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	3
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	1

Financial Data on SIMON MIRELMAN, MD, PC 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2011 : SIMON MIRELMAN, MD, PC 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$-46,817
Expenses. Total of all expenses incurred	2011-12-31	$2,410,646
Benefits paid (including direct rollovers)	2011-12-31	$2,410,646
Total plan assets at end of year	2011-12-31	$0
Total plan assets at beginning of year	2011-12-31	$2,457,463
Other income received	2011-12-31	$-46,817
Net income (gross income less expenses)	2011-12-31	$-2,457,463
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$2,457,463
2010 : SIMON MIRELMAN, MD, PC 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$151,059
Expenses. Total of all expenses incurred	2010-12-31	$6,970
Total plan assets at end of year	2010-12-31	$2,457,463
Total plan assets at beginning of year	2010-12-31	$2,313,374
Value of fidelity bond covering the plan	2010-12-31	$215,000
Other income received	2010-12-31	$151,059
Net income (gross income less expenses)	2010-12-31	$144,089
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$2,457,463
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$2,313,374
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$6,970

Form 5500 Responses for SIMON MIRELMAN, MD, PC 401(K) PROFIT SHARING PLAN

2011: SIMON MIRELMAN, MD, PC 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	This submission is the final filing	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: SIMON MIRELMAN, MD, PC 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: SIMON MIRELMAN, MD, PC 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	SIMON MIRELMAN, M.D., P.C.
Employer identification number (EIN):	631236359
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)