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| Plan Name | CHILOQUIN FAMILY PRACTICE, INC 401(K) PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | CHILOQUIN FAMILY PRACTICE, INC 401 |
| Employer identification number (EIN): | 911813563 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2012-01-01 | LAWRENCE COHEN | 2013-09-20 | LAWRENCE COHEN | 2013-09-20 |
| 001 | 2011-01-01 | LAWRENCE COHEN | LAWRENCE COHEN | 2012-07-15 | |
| 001 | 2009-01-01 | LAWRENCE COHEN | LAWRENCE COHEN | 2010-10-15 |
| Measure | Date | Value |
|---|---|---|
| 2011: CHILOQUIN FAMILY PRACTICE, INC 401(K) PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-01-01 | 2 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 2 |
| Total of all active and inactive participants | 2011-01-01 | 2 |
| Total participants | 2011-01-01 | 2 |
| Number of participants with account balances | 2011-01-01 | 2 |
| 2009: CHILOQUIN FAMILY PRACTICE, INC 401(K) PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 2 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 2 |
| Total of all active and inactive participants | 2009-01-01 | 2 |
| Total participants | 2009-01-01 | 2 |
| Number of participants with account balances | 2009-01-01 | 2 |
| Measure | Date | Value |
|---|---|---|
| 2011 : CHILOQUIN FAMILY PRACTICE, INC 401(K) PLAN 2011 401k financial data | ||
| Transfers to/from the plan | 2011-12-31 | $9,025 |
| Total income from all sources | 2011-12-31 | $78,102 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $3,757 |
| Total plan assets at end of year | 2011-12-31 | $332,935 |
| Total plan assets at beginning of year | 2011-12-31 | $249,565 |
| Total contributions received or receivable from participants | 2011-12-31 | $1,833 |
| Other income received | 2011-12-31 | $76,269 |
| Net income (gross income less expenses) | 2011-12-31 | $74,345 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $332,935 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $249,565 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2011-12-31 | $3,757 |
| 2011: CHILOQUIN FAMILY PRACTICE, INC 401(K) PLAN 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: CHILOQUIN FAMILY PRACTICE, INC 401(K) PLAN 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 |
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