401k Plan data: LEONIDES P. MEDRANO, M.D., P.A. PROFIT SHARING PLAN plan

LEONIDES P. MEDRANO, M.D., P.A. PROFIT SHARING PLAN 401k Plan overview

Plan Name	LEONIDES P. MEDRANO, M.D., P.A. PROFIT SHARING PLAN
Plan identification number	002

LEONIDES P. MEDRANO, M.D., P.A. 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
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

LEONIDES P. MEDRANO, M.D., P.A. has sponsored the creation of one or more 401k plans.

Company Name: LEONIDES P. MEDRANO, M.D., P.A.

Employer identification number (EIN): 760449833

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LEONIDES P. MEDRANO, M.D., P.A. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2004-01-01 LEONIDES P. MEDRANO, M.D.

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2004-01-01	LEONIDES P. MEDRANO, M.D.

Plan Statistics for LEONIDES P. MEDRANO, M.D., P.A. PROFIT SHARING PLAN

401k plan membership statisitcs for LEONIDES P. MEDRANO, M.D., P.A. PROFIT SHARING PLAN

Measure Date Value
2004: LEONIDES P. MEDRANO, M.D., P.A. PROFIT SHARING PLAN 2004 401k membership
Total participants, beginning-of-year 2004-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2004-01-01 0
Number of retired or separated participants receiving benefits 2004-01-01 0
Number of other retired or separated participants entitled to future benefits 2004-01-01 0
Total of all active and inactive participants 2004-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2004-01-01 0
Total participants 2004-01-01 0
Number of participants with account balances 2004-01-01 0

Measure	Date	Value
2004: LEONIDES P. MEDRANO, M.D., P.A. PROFIT SHARING PLAN 2004 401k membership
Total participants, beginning-of-year	2004-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2004-01-01	0
Number of retired or separated participants receiving benefits	2004-01-01	0
Number of other retired or separated participants entitled to future benefits	2004-01-01	0
Total of all active and inactive participants	2004-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2004-01-01	0
Total participants	2004-01-01	0
Number of participants with account balances	2004-01-01	0

Financial Data on LEONIDES P. MEDRANO, M.D., P.A. PROFIT SHARING PLAN

Measure	Date	Value
2004 : LEONIDES P. MEDRANO, M.D., P.A. PROFIT SHARING PLAN 2004 401k financial data
Transfers to/from the plan	2004-12-31	$-241,415
Total plan liabilities at end of year	2004-12-31	$0
Total plan liabilities at beginning of year	2004-12-31	$0
Total income from all sources	2004-12-31	$20,769
Expenses. Total of all expenses incurred	2004-12-31	$0
Benefits paid (including direct rollovers)	2004-12-31	$0
Total plan assets at end of year	2004-12-31	$0
Total plan assets at beginning of year	2004-12-31	$220,646
Total contributions received or receivable from participants	2004-12-31	$0
Expenses. Other expenses not covered elsewhere	2004-12-31	$0
Contributions received from other sources (not participants or employers)	2004-12-31	$0
Other income received	2004-12-31	$9,582
Noncash contributions received	2004-12-31	$0
Net income (gross income less expenses)	2004-12-31	$20,769
Net plan assets at end of year (total assets less liabilities)	2004-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2004-12-31	$220,646
Total contributions received or receivable from employer(s)	2004-12-31	$11,187
Value of certain deemed distributions of participant loans	2004-12-31	$0
Value of corrective distributions	2004-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2004-12-31	$0

Form 5500 Responses for LEONIDES P. MEDRANO, M.D., P.A. PROFIT SHARING PLAN

2004: LEONIDES P. MEDRANO, M.D., P.A. PROFIT SHARING PLAN 2004 form 5500 responses
2004-01-01	Type of plan entity	Single employer plan
2004-01-01	Submission has been amended	Yes
2004-01-01	This submission is the final filing	Yes
2004-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2004-01-01	Plan is a collectively bargained plan	No
2004-01-01	Plan funding arrangement – Trust	Yes
2004-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	LEONIDES P. MEDRANO, M.D., P.A.
Employer identification number (EIN):	760449833