401k Plan data: BRUCE E. CHASE, D.V.M., P.C. PROFIT SHARING PLAN plan

BRUCE E. CHASE, D.V.M., P.C. PROFIT SHARING PLAN 401k Plan overview

Plan Name	BRUCE E. CHASE, D.V.M., P.C. PROFIT SHARING PLAN
Plan identification number	001

BRUCE E. CHASE, D.V.M., P.C. PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

BRUCE E. CHASE, DVM, PC has sponsored the creation of one or more 401k plans.

Company Name: BRUCE E. CHASE, DVM, PC

Employer identification number (EIN): 042955563

NAIC Classification: 541940
NAIC Description: Veterinary Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BRUCE E. CHASE, D.V.M., P.C. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-01-01 BRUCE E. CHASE 2013-10-02 BRUCE E. CHASE 2013-10-02
001 2011-01-01 BRUCE E. CHASE 2012-10-11 BRUCE E. CHASE 2012-10-11
001 2010-01-01 BRUCE E. CHASE 2011-10-14 BRUCE E. CHASE 2011-10-14
001 2009-01-01 BRUCE E. CHASE 2010-10-12 BRUCE E. CHASE 2010-10-12

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2012-01-01	BRUCE E. CHASE	2013-10-02	BRUCE E. CHASE	2013-10-02
001	2011-01-01	BRUCE E. CHASE	2012-10-11	BRUCE E. CHASE	2012-10-11
001	2010-01-01	BRUCE E. CHASE	2011-10-14	BRUCE E. CHASE	2011-10-14
001	2009-01-01	BRUCE E. CHASE	2010-10-12	BRUCE E. CHASE	2010-10-12

Plan Statistics for BRUCE E. CHASE, D.V.M., P.C. PROFIT SHARING PLAN

401k plan membership statisitcs for BRUCE E. CHASE, D.V.M., P.C. PROFIT SHARING PLAN

Measure Date Value
2012: BRUCE E. CHASE, D.V.M., P.C. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
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 0
Total of all active and inactive participants 2012-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 0
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: BRUCE E. CHASE, D.V.M., P.C. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 10
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 0
Total of all active and inactive participants 2011-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 10
Number of participants with account balances 2011-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: BRUCE E. CHASE, D.V.M., P.C. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 10
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 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 10
Number of participants with account balances 2010-01-01 10
2009: BRUCE E. CHASE, D.V.M., P.C. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 10
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 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 10
Number of participants with account balances 2009-01-01 10

Measure	Date	Value
2012: BRUCE E. CHASE, D.V.M., P.C. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
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	0
Total of all active and inactive participants	2012-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	0
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: BRUCE E. CHASE, D.V.M., P.C. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	10
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	0
Total of all active and inactive participants	2011-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	10
Number of participants with account balances	2011-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: BRUCE E. CHASE, D.V.M., P.C. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	10
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	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	10
Number of participants with account balances	2010-01-01	10
2009: BRUCE E. CHASE, D.V.M., P.C. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	10
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	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	10
Number of participants with account balances	2009-01-01	10

Financial Data on BRUCE E. CHASE, D.V.M., P.C. PROFIT SHARING PLAN

Measure	Date	Value
2012 : BRUCE E. CHASE, D.V.M., P.C. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$32,973
Expenses. Total of all expenses incurred	2012-12-31	$782,431
Benefits paid (including direct rollovers)	2012-12-31	$782,431
Total plan assets at end of year	2012-12-31	$0
Total plan assets at beginning of year	2012-12-31	$749,458
Other income received	2012-12-31	$32,973
Net income (gross income less expenses)	2012-12-31	$-749,458
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$749,458
2011 : BRUCE E. CHASE, D.V.M., P.C. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$30,534
Total plan assets at end of year	2011-12-31	$749,458
Total plan assets at beginning of year	2011-12-31	$718,924
Other income received	2011-12-31	$-32,040
Net income (gross income less expenses)	2011-12-31	$30,534
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$749,458
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$718,924
Total contributions received or receivable from employer(s)	2011-12-31	$62,574
2010 : BRUCE E. CHASE, D.V.M., P.C. PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$142,461
Total plan assets at end of year	2010-12-31	$718,924
Total plan assets at beginning of year	2010-12-31	$576,463
Other income received	2010-12-31	$85,503
Net income (gross income less expenses)	2010-12-31	$142,461
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$718,924
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$576,463
Total contributions received or receivable from employer(s)	2010-12-31	$56,958

Form 5500 Responses for BRUCE E. CHASE, D.V.M., P.C. PROFIT SHARING PLAN

2012: BRUCE E. CHASE, D.V.M., P.C. PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	This submission is the final filing	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: BRUCE E. CHASE, D.V.M., P.C. PROFIT SHARING 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
2010: BRUCE E. CHASE, D.V.M., P.C. PROFIT SHARING PLAN 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: BRUCE E. CHASE, D.V.M., P.C. PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	BRUCE E. CHASE, DVM, PC
Employer identification number (EIN):	042955563
NAIC Classification:	541940
NAIC Description:	Veterinary Services