401k Plan data: LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST plan

LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 401k Plan overview

Plan Name	LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST
Plan identification number	001

LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 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. Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

C.T. SIMMONS, II M.D.P.A. has sponsored the creation of one or more 401k plans.

Company Name: C.T. SIMMONS, II M.D.P.A.

Employer identification number (EIN): 751471973

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01
001 2013-01-01
001 2012-01-01 C. T. SIMMONS, M.D.
001 2011-01-01 C. T. SIMMONS, M.D.
001 2009-01-01 C. T. SIMMONS, M. D.
001 2008-01-01

Plan Statistics for LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST

401k plan membership statisitcs for LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST

Measure Date Value
2017: LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2017 401k membership
Total participants, beginning-of-year 2017-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 8
Total of all active and inactive participants 2017-01-01 8
Total participants 2017-01-01 8
Number of participants with account balances 2017-01-01 0
2016: LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2016 401k membership
Total participants, beginning-of-year 2016-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 8
Total of all active and inactive participants 2016-01-01 8
Total participants 2016-01-01 8
Number of participants with account balances 2016-01-01 8
2015: LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 9
Total of all active and inactive participants 2015-01-01 9
Total participants 2015-01-01 9
Number of participants with account balances 2015-01-01 9
2014: LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 9
Total of all active and inactive participants 2014-01-01 9
Total participants 2014-01-01 9
Number of participants with account balances 2014-01-01 9
2013: LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 10
Total of all active and inactive participants 2013-01-01 10
Total participants 2013-01-01 10
Number of participants with account balances 2013-01-01 10
2012: LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 10
Total of all active and inactive participants 2012-01-01 10
Total participants 2012-01-01 10
Number of participants with account balances 2012-01-01 10
2011: LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 9
Total of all active and inactive participants 2011-01-01 9
Total participants 2011-01-01 9
Number of participants with account balances 2011-01-01 9
2009: LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 8
Total of all active and inactive participants 2009-01-01 8
Total participants 2009-01-01 8
Number of participants with account balances 2009-01-01 8

Measure	Date	Value
2017: LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2017 401k membership
Total participants, beginning-of-year	2017-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	8
Total of all active and inactive participants	2017-01-01	8
Total participants	2017-01-01	8
Number of participants with account balances	2017-01-01	0
2016: LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2016 401k membership
Total participants, beginning-of-year	2016-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	8
Total of all active and inactive participants	2016-01-01	8
Total participants	2016-01-01	8
Number of participants with account balances	2016-01-01	8
2015: LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	9
Total of all active and inactive participants	2015-01-01	9
Total participants	2015-01-01	9
Number of participants with account balances	2015-01-01	9
2014: LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	9
Total of all active and inactive participants	2014-01-01	9
Total participants	2014-01-01	9
Number of participants with account balances	2014-01-01	9
2013: LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	10
Total of all active and inactive participants	2013-01-01	10
Total participants	2013-01-01	10
Number of participants with account balances	2013-01-01	10
2012: LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	10
Total of all active and inactive participants	2012-01-01	10
Total participants	2012-01-01	10
Number of participants with account balances	2012-01-01	10
2011: LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	9
Total of all active and inactive participants	2011-01-01	9
Total participants	2011-01-01	9
Number of participants with account balances	2011-01-01	9
2009: LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	8
Total of all active and inactive participants	2009-01-01	8
Total participants	2009-01-01	8
Number of participants with account balances	2009-01-01	8

Financial Data on LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST

Measure	Date	Value
2017 : LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2017 401k financial data
Total income from all sources	2017-12-31	$96,282
Expenses. Total of all expenses incurred	2017-12-31	$1,865,450
Benefits paid (including direct rollovers)	2017-12-31	$1,865,450
Total plan assets at end of year	2017-12-31	$0
Total plan assets at beginning of year	2017-12-31	$1,769,168
Value of fidelity bond covering the plan	2017-12-31	$125,000
Other income received	2017-12-31	$96,282
Net income (gross income less expenses)	2017-12-31	$-1,769,168
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$1,769,168
2016 : LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2016 401k financial data
Total income from all sources	2016-12-31	$163,016
Expenses. Total of all expenses incurred	2016-12-31	$126,879
Benefits paid (including direct rollovers)	2016-12-31	$126,879
Total plan assets at end of year	2016-12-31	$1,769,168
Total plan assets at beginning of year	2016-12-31	$1,733,031
Value of fidelity bond covering the plan	2016-12-31	$125,000
Total contributions received or receivable from participants	2016-12-31	$27,521
Other income received	2016-12-31	$122,106
Net income (gross income less expenses)	2016-12-31	$36,137
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$1,769,168
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,733,031
Total contributions received or receivable from employer(s)	2016-12-31	$13,389
2015 : LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2015 401k financial data
Total income from all sources	2015-12-31	$34,093
Total plan assets at end of year	2015-12-31	$1,733,031
Total plan assets at beginning of year	2015-12-31	$1,698,938
Value of fidelity bond covering the plan	2015-12-31	$125,000
Total contributions received or receivable from participants	2015-12-31	$23,864
Other income received	2015-12-31	$-3,603
Net income (gross income less expenses)	2015-12-31	$34,093
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,733,031
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,698,938
Total contributions received or receivable from employer(s)	2015-12-31	$13,832
2014 : LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2014 401k financial data
Total income from all sources	2014-12-31	$174,801
Expenses. Total of all expenses incurred	2014-12-31	$35,068
Benefits paid (including direct rollovers)	2014-12-31	$18,671
Total plan assets at end of year	2014-12-31	$1,698,938
Total plan assets at beginning of year	2014-12-31	$1,559,205
Value of fidelity bond covering the plan	2014-12-31	$125,000
Total contributions received or receivable from participants	2014-12-31	$23,520
Other income received	2014-12-31	$138,691
Net income (gross income less expenses)	2014-12-31	$139,733
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,698,938
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,559,205
Total contributions received or receivable from employer(s)	2014-12-31	$12,590
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$16,397
2013 : LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2013 401k financial data
Total income from all sources	2013-12-31	$253,548
Expenses. Total of all expenses incurred	2013-12-31	$16,983
Benefits paid (including direct rollovers)	2013-12-31	$3,000
Total plan assets at end of year	2013-12-31	$1,559,205
Total plan assets at beginning of year	2013-12-31	$1,322,640
Value of fidelity bond covering the plan	2013-12-31	$125,000
Total contributions received or receivable from participants	2013-12-31	$26,609
Other income received	2013-12-31	$210,349
Net income (gross income less expenses)	2013-12-31	$236,565
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,559,205
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,322,640
Total contributions received or receivable from employer(s)	2013-12-31	$16,590
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$13,983
2012 : LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2012 401k financial data
Total income from all sources	2012-12-31	$136,813
Expenses. Total of all expenses incurred	2012-12-31	$12,533
Total plan assets at end of year	2012-12-31	$1,322,640
Total plan assets at beginning of year	2012-12-31	$1,198,360
Value of fidelity bond covering the plan	2012-12-31	$125,000
Total contributions received or receivable from participants	2012-12-31	$30,764
Other income received	2012-12-31	$86,826
Net income (gross income less expenses)	2012-12-31	$124,280
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,322,640
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,198,360
Assets. Value of participant loans	2012-12-31	$11,761
Total contributions received or receivable from employer(s)	2012-12-31	$19,223
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$12,533
2011 : LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2011 401k financial data
Total income from all sources	2011-12-31	$-14,610
Expenses. Total of all expenses incurred	2011-12-31	$17,472
Benefits paid (including direct rollovers)	2011-12-31	$4,516
Total plan assets at end of year	2011-12-31	$1,198,360
Total plan assets at beginning of year	2011-12-31	$1,230,442
Value of fidelity bond covering the plan	2011-12-31	$125,000
Total contributions received or receivable from participants	2011-12-31	$31,995
Other income received	2011-12-31	$-61,534
Net income (gross income less expenses)	2011-12-31	$-32,082
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,198,360
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,230,442
Assets. Value of participant loans	2011-12-31	$22,567
Total contributions received or receivable from employer(s)	2011-12-31	$14,929
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$12,956
2010 : LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2010 401k financial data
Total income from all sources	2010-12-31	$195,984
Expenses. Total of all expenses incurred	2010-12-31	$11,405
Total plan assets at end of year	2010-12-31	$1,230,442
Total plan assets at beginning of year	2010-12-31	$1,045,863
Value of fidelity bond covering the plan	2010-12-31	$125,000
Total contributions received or receivable from participants	2010-12-31	$29,486
Other income received	2010-12-31	$152,319
Net income (gross income less expenses)	2010-12-31	$184,579
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,230,442
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,045,863
Assets. Value of participant loans	2010-12-31	$32,496
Total contributions received or receivable from employer(s)	2010-12-31	$14,179
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$11,405

Form 5500 Responses for LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST

2017: LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	This submission is the final filing	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 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
2009: LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes
2008: LEWISVILLE FAMILY MEDICAL ASSOC.RESTATED PROFIT SH & TRUST 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	Yes
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No

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Company Name:	C.T. SIMMONS, II M.D.P.A.
Employer identification number (EIN):	751471973
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)