401k Plan data: RICARDO E JIMENEZ PENSION PLAN MONEY PURCHASE plan

RICARDO E JIMENEZ PENSION PLAN MONEY PURCHASE 401k Plan overview

Plan Name	RICARDO E JIMENEZ PENSION PLAN MONEY PURCHASE
Plan identification number	001

RICARDO E JIMENEZ PENSION PLAN MONEY PURCHASE Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Money purchase (other than target benefit)

401k Sponsoring company profile

RICARDO E JIMENEZ has sponsored the creation of one or more 401k plans.

Company Name: RICARDO E JIMENEZ

Employer identification number (EIN): 660500997

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RICARDO E JIMENEZ PENSION PLAN MONEY PURCHASE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2011-01-01 RICARDO E. JIMENEZ RICARDO E. JIMENEZ 2012-10-05
001 2009-01-01 RICARDO E. JIMENEZ RICARDO E. JIMENEZ 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2011-01-01	RICARDO E. JIMENEZ		RICARDO E. JIMENEZ	2012-10-05
001	2009-01-01	RICARDO E. JIMENEZ		RICARDO E. JIMENEZ	2010-10-14

Plan Statistics for RICARDO E JIMENEZ PENSION PLAN MONEY PURCHASE

401k plan membership statisitcs for RICARDO E JIMENEZ PENSION PLAN MONEY PURCHASE

Measure Date Value
2011: RICARDO E JIMENEZ PENSION PLAN MONEY PURCHASE 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 1
Number of participants with account balances 2011-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: RICARDO E JIMENEZ PENSION PLAN MONEY PURCHASE 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1
Total of all active and inactive participants 2009-01-01 1
Total participants 2009-01-01 1
Number of participants with account balances 2009-01-01 1

Measure	Date	Value
2011: RICARDO E JIMENEZ PENSION PLAN MONEY PURCHASE 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	1
Number of participants with account balances	2011-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: RICARDO E JIMENEZ PENSION PLAN MONEY PURCHASE 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1
Total of all active and inactive participants	2009-01-01	1
Total participants	2009-01-01	1
Number of participants with account balances	2009-01-01	1

Financial Data on RICARDO E JIMENEZ PENSION PLAN MONEY PURCHASE

Measure	Date	Value
2011 : RICARDO E JIMENEZ PENSION PLAN MONEY PURCHASE 2011 401k financial data
Total income from all sources	2011-12-31	$51,174
Total plan assets at end of year	2011-12-31	$583,387
Total plan assets at beginning of year	2011-12-31	$532,213
Other income received	2011-12-31	$-3,341
Net income (gross income less expenses)	2011-12-31	$51,174
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$583,387
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$532,213
Total contributions received or receivable from employer(s)	2011-12-31	$54,515
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$54,515
Amount contributed by the employer to the plan for this plan year	2011-12-31	$54,515
2010 : RICARDO E JIMENEZ PENSION PLAN MONEY PURCHASE 2010 401k financial data
Total income from all sources	2010-12-31	$109,591
Expenses. Total of all expenses incurred	2010-12-31	$5,042
Total plan assets at end of year	2010-12-31	$532,213
Total plan assets at beginning of year	2010-12-31	$427,664
Expenses. Other expenses not covered elsewhere	2010-12-31	$5,042
Other income received	2010-12-31	$41,713
Net income (gross income less expenses)	2010-12-31	$104,549
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$532,213
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$427,664
Total contributions received or receivable from employer(s)	2010-12-31	$67,878
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$67,878
Amount contributed by the employer to the plan for this plan year	2010-12-31	$67,878
2009 : RICARDO E JIMENEZ PENSION PLAN MONEY PURCHASE 2009 401k financial data
Minimum employer required contribution for this plan year	2009-12-31	$53,366
Amount contributed by the employer to the plan for this plan year	2009-12-31	$53,366

Form 5500 Responses for RICARDO E JIMENEZ PENSION PLAN MONEY PURCHASE

2011: RICARDO E JIMENEZ PENSION PLAN MONEY PURCHASE 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: RICARDO E JIMENEZ PENSION PLAN MONEY PURCHASE 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
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	RICARDO E JIMENEZ
Employer identification number (EIN):	660500997
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)