401k Plan data: LEON W HANSEN, MD PC PROFIT SHARING PLAN 9600 S 1300 E SUITE 300, plan

LEON W HANSEN, MD PC PROFIT SHARING PLAN 9600 S 1300 E SUITE 300, 401k Plan overview

Plan Name	LEON W HANSEN, MD PC PROFIT SHARING PLAN 9600 S 1300 E SUITE 300,
Plan identification number	001

LEON W HANSEN, MD PC PROFIT SHARING PLAN 9600 S 1300 E SUITE 300, Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1. Code section 408 accounts and annuities - See Limited Pension Plan Reporting instructions for pension plan utilizing individual Code section 408 retirement accounts or annuities as the funding vehicle for providing benefits.

401k Sponsoring company profile

LEON HANSEN MD PC has sponsored the creation of one or more 401k plans.

Company Name: LEON HANSEN MD PC

Employer identification number (EIN): 870469765

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LEON W HANSEN, MD PC PROFIT SHARING PLAN 9600 S 1300 E SUITE 300,

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2011-01-01 LEON HANSEN LEON HANSEN 2012-07-02
001 2010-01-01 LEON HANSEN LEON HANSEN 2011-09-13
001 2009-01-01 LEON HANSEN LEON HANSEN 2010-09-14
001 2009-01-01 LEON W. HANSEN LEON W. HANSEN 2010-09-14
001 2009-01-01 LEON W. HANSEN LEON W. HANSEN 2010-09-14
001 2009-01-01 LEON HANSEN LEON HANSEN 2010-09-14

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2011-01-01	LEON HANSEN	LEON HANSEN	2012-07-02
001	2010-01-01	LEON HANSEN	LEON HANSEN	2011-09-13
001	2009-01-01	LEON HANSEN	LEON HANSEN	2010-09-14
001	2009-01-01	LEON W. HANSEN	LEON W. HANSEN	2010-09-14
001	2009-01-01	LEON W. HANSEN	LEON W. HANSEN	2010-09-14
001	2009-01-01	LEON HANSEN	LEON HANSEN	2010-09-14

Plan Statistics for LEON W HANSEN, MD PC PROFIT SHARING PLAN 9600 S 1300 E SUITE 300,

401k plan membership statisitcs for LEON W HANSEN, MD PC PROFIT SHARING PLAN 9600 S 1300 E SUITE 300,

Measure Date Value
2011: LEON W HANSEN, MD PC PROFIT SHARING PLAN 9600 S 1300 E SUITE 300, 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 0
Number of retired or separated participants receiving benefits 2011-01-01 1
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 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: LEON W HANSEN, MD PC PROFIT SHARING PLAN 9600 S 1300 E SUITE 300, 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 1
Number of participants with account balances 2010-01-01 1
2009: LEON W HANSEN, MD PC PROFIT SHARING PLAN 9600 S 1300 E SUITE 300, 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
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 1
Number of participants with account balances 2009-01-01 1

Measure	Date	Value
2011: LEON W HANSEN, MD PC PROFIT SHARING PLAN 9600 S 1300 E SUITE 300, 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	0
Number of retired or separated participants receiving benefits	2011-01-01	1
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	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: LEON W HANSEN, MD PC PROFIT SHARING PLAN 9600 S 1300 E SUITE 300, 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	1
Number of participants with account balances	2010-01-01	1
2009: LEON W HANSEN, MD PC PROFIT SHARING PLAN 9600 S 1300 E SUITE 300, 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
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	1
Number of participants with account balances	2009-01-01	1

Financial Data on LEON W HANSEN, MD PC PROFIT SHARING PLAN 9600 S 1300 E SUITE 300,

Measure	Date	Value
2011 : LEON W HANSEN, MD PC PROFIT SHARING PLAN 9600 S 1300 E SUITE 300, 2011 401k financial data
Total income from all sources	2011-12-31	$-40,020
Expenses. Total of all expenses incurred	2011-12-31	$966,941
Benefits paid (including direct rollovers)	2011-12-31	$964,647
Total plan assets at end of year	2011-12-31	$0
Total plan assets at beginning of year	2011-12-31	$1,006,961
Other income received	2011-12-31	$-40,020
Net income (gross income less expenses)	2011-12-31	$-1,006,961
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	$1,006,961
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$2,294
2010 : LEON W HANSEN, MD PC PROFIT SHARING PLAN 9600 S 1300 E SUITE 300, 2010 401k financial data
Total income from all sources	2010-12-31	$107,416
Expenses. Total of all expenses incurred	2010-12-31	$2,207
Total plan assets at end of year	2010-12-31	$1,006,961
Total plan assets at beginning of year	2010-12-31	$901,752
Other income received	2010-12-31	$107,416
Net income (gross income less expenses)	2010-12-31	$105,209
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,006,961
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$901,752
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$2,207

Form 5500 Responses for LEON W HANSEN, MD PC PROFIT SHARING PLAN 9600 S 1300 E SUITE 300,

2011: LEON W HANSEN, MD PC PROFIT SHARING PLAN 9600 S 1300 E SUITE 300, 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: LEON W HANSEN, MD PC PROFIT SHARING PLAN 9600 S 1300 E SUITE 300, 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: LEON W HANSEN, MD PC PROFIT SHARING PLAN 9600 S 1300 E SUITE 300, 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	LEON HANSEN MD PC
Employer identification number (EIN):	870469765
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)