401k Plan data: GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN plan

GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN
Plan identification number	001

GARY VAN DEVENTER, M.D. 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.
Plan covering Self-Employed individuals.
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

GARY VAN DEVENTER, M.D. has sponsored the creation of one or more 401k plans.

Company Name: GARY VAN DEVENTER, M.D.

Employer identification number (EIN): 770299107

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-01-01
001 2018-01-01
001 2017-01-01 DAVID A. PECKHAM, FOR SBPC, INC.
001 2016-01-01 DAVID A. PECKHAM, FOR SBPC, INC.
001 2016-01-01 DAVID A. PECKHAM, FOR SBPC, INC.
001 2015-01-01 DAVID A. PECKHAM, FOR SBPC, INC.
001 2015-01-01 DAVID A. PECKHAM, FOR SBPC, INC.
001 2014-01-01 DAVID A. PECKHAM, FOR SBPC, INC.
001 2014-01-01 DAVID A. PECKHAM, FOR SBPC, INC.
001 2013-01-01 DAVID A. PECKHAM, FOR SBPC, INC.
001 2012-01-01 DAVID A. PECKHAM, FOR SBPC, INC.
001 2011-01-01 DAVID PECKHAM
001 2009-01-01 DAVID PECKHAM

Plan Statistics for GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN

Measure Date Value
2018: GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 3
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 3
Number of participants with account balances 2018-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 3
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 1
Total of all active and inactive participants 2017-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 4
Number of participants with account balances 2017-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 4
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 4
Number of participants with account balances 2016-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 3
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 1
Total of all active and inactive participants 2015-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 4
Number of participants with account balances 2015-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 3
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 3
Total of all active and inactive participants 2014-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 6
Number of participants with account balances 2014-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 3
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 3
Total of all active and inactive participants 2013-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 6
Number of participants with account balances 2013-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 2
2012: GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 3
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 3
Total of all active and inactive participants 2012-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 6
Number of participants with account balances 2012-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 2
2011: GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 5
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 3
Total of all active and inactive participants 2011-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 8
Number of participants with account balances 2011-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2009: GARY VAN DEVENTER, M.D. 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 4
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 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 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2018: GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	3
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	3
Number of participants with account balances	2018-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	3
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	1
Total of all active and inactive participants	2017-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	4
Number of participants with account balances	2017-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	4
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	4
Number of participants with account balances	2016-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	3
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	1
Total of all active and inactive participants	2015-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	4
Number of participants with account balances	2015-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	3
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	3
Total of all active and inactive participants	2014-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	6
Number of participants with account balances	2014-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	3
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	3
Total of all active and inactive participants	2013-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	6
Number of participants with account balances	2013-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	2
2012: GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	3
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	3
Total of all active and inactive participants	2012-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	6
Number of participants with account balances	2012-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	2
2011: GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	5
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	3
Total of all active and inactive participants	2011-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	8
Number of participants with account balances	2011-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2009: GARY VAN DEVENTER, M.D. 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	4
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	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	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2018 : GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total plan liabilities at end of year	2018-12-31	$0
Total plan liabilities at beginning of year	2018-12-31	$16,961
Total income from all sources	2018-12-31	$11,160
Expenses. Total of all expenses incurred	2018-12-31	$22,255
Benefits paid (including direct rollovers)	2018-12-31	$22,161
Total plan assets at end of year	2018-12-31	$502,483
Total plan assets at beginning of year	2018-12-31	$530,539
Value of fidelity bond covering the plan	2018-12-31	$489,503
Assets. Value of loans (other than to participants)	2018-12-31	$259,503
Expenses. Other expenses not covered elsewhere	2018-12-31	$94
Other income received	2018-12-31	$11,160
Net income (gross income less expenses)	2018-12-31	$-11,095
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$502,483
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$513,578
Assets. Value of assets in partnership/joint-venture interests	2018-12-31	$230,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total plan liabilities at end of year	2017-12-31	$16,961
Total plan liabilities at beginning of year	2017-12-31	$0
Total income from all sources	2017-12-31	$51,020
Expenses. Total of all expenses incurred	2017-12-31	$16,986
Benefits paid (including direct rollovers)	2017-12-31	$16,961
Total plan assets at end of year	2017-12-31	$530,539
Total plan assets at beginning of year	2017-12-31	$479,544
Value of fidelity bond covering the plan	2017-12-31	$379,452
Total contributions received or receivable from participants	2017-12-31	$6,000
Assets. Value of loans (other than to participants)	2017-12-31	$149,452
Expenses. Other expenses not covered elsewhere	2017-12-31	$25
Other income received	2017-12-31	$18,549
Net income (gross income less expenses)	2017-12-31	$34,034
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$513,578
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$479,544
Assets. Value of assets in partnership/joint-venture interests	2017-12-31	$230,000
Total contributions received or receivable from employer(s)	2017-12-31	$26,471
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total plan liabilities at end of year	2016-12-31	$0
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$55,425
Expenses. Total of all expenses incurred	2016-12-31	$254,269
Benefits paid (including direct rollovers)	2016-12-31	$254,189
Total plan assets at end of year	2016-12-31	$761,494
Total plan assets at beginning of year	2016-12-31	$706,069
Value of fidelity bond covering the plan	2016-12-31	$125,000
Total contributions received or receivable from participants	2016-12-31	$6,000
Other income received	2016-12-31	$49,425
Net income (gross income less expenses)	2016-12-31	$55,425
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$761,494
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$706,069
Assets. Value of assets in partnership/joint-venture interests	2016-12-31	$221,000
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$80
2015 : GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$82,437
Total plan assets at end of year	2015-12-31	$706,069
Total plan assets at beginning of year	2015-12-31	$623,632
Value of fidelity bond covering the plan	2015-12-31	$125,000
Total contributions received or receivable from participants	2015-12-31	$6,000
Assets. Value of loans (other than to participants)	2015-12-31	$448,867
Other income received	2015-12-31	$31,182
Net income (gross income less expenses)	2015-12-31	$82,437
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$706,069
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$623,632
Total contributions received or receivable from employer(s)	2015-12-31	$45,255
2014 : GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$68,100
Expenses. Total of all expenses incurred	2014-12-31	$11,146
Benefits paid (including direct rollovers)	2014-12-31	$11,146
Total plan assets at end of year	2014-12-31	$623,632
Total plan assets at beginning of year	2014-12-31	$555,532
Value of fidelity bond covering the plan	2014-12-31	$125,000
Total contributions received or receivable from participants	2014-12-31	$5,500
Assets. Value of loans (other than to participants)	2014-12-31	$249,520
Other income received	2014-12-31	$7,855
Net income (gross income less expenses)	2014-12-31	$68,100
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$623,632
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$555,532
Total contributions received or receivable from employer(s)	2014-12-31	$54,745
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$40,695
Total plan assets at end of year	2013-12-31	$524,758
Total plan assets at beginning of year	2013-12-31	$484,063
Value of fidelity bond covering the plan	2013-12-31	$125,000
Total contributions received or receivable from participants	2013-12-31	$5,500
Assets. Value of loans (other than to participants)	2013-12-31	$250,000
Other income received	2013-12-31	$13,132
Net income (gross income less expenses)	2013-12-31	$40,695
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$524,758
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$484,063
Total contributions received or receivable from employer(s)	2013-12-31	$22,063
2012 : GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$71,280
Total plan assets at end of year	2012-12-31	$484,063
Total plan assets at beginning of year	2012-12-31	$412,783
Value of fidelity bond covering the plan	2012-12-31	$125,000
Total contributions received or receivable from participants	2012-12-31	$5,500
Other income received	2012-12-31	$13,551
Net income (gross income less expenses)	2012-12-31	$71,280
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$484,063
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$412,783
Total contributions received or receivable from employer(s)	2012-12-31	$52,229
2011 : GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$67,124
Expenses. Total of all expenses incurred	2011-12-31	$150
Total plan assets at end of year	2011-12-31	$412,783
Total plan assets at beginning of year	2011-12-31	$345,809
Value of fidelity bond covering the plan	2011-12-31	$125,000
Total contributions received or receivable from participants	2011-12-31	$5,500
Assets. Value of loans (other than to participants)	2011-12-31	$124,924
Expenses. Other expenses not covered elsewhere	2011-12-31	$150
Other income received	2011-12-31	$11,472
Net income (gross income less expenses)	2011-12-31	$66,974
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$412,783
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$345,809
Total contributions received or receivable from employer(s)	2011-12-31	$50,152
2010 : GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$62,633
Expenses. Total of all expenses incurred	2010-12-31	$100
Total plan assets at end of year	2010-12-31	$345,809
Total plan assets at beginning of year	2010-12-31	$283,276
Value of fidelity bond covering the plan	2010-12-31	$125,000
Total contributions received or receivable from participants	2010-12-31	$5,500
Assets. Value of loans (other than to participants)	2010-12-31	$124,988
Expenses. Other expenses not covered elsewhere	2010-12-31	$100
Other income received	2010-12-31	$4,074
Net income (gross income less expenses)	2010-12-31	$62,533
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$345,809
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$283,276
Total contributions received or receivable from employer(s)	2010-12-31	$53,059

Form 5500 Responses for GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN

2018: GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 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: GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 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
2009: GARY VAN DEVENTER, M.D. 401(K) PROFIT SHARING PLAN 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

Potentially related plans

GARY VAN GRINSVEN 401 K PROFIT SHARING PLAN TRUST [EIN = 270329321]

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Company Name:	GARY VAN DEVENTER, M.D.
Employer identification number (EIN):	770299107
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)