401k Plan data: STEPHEN HILLER, M.D., P.C. PENSION PLAN plan

STEPHEN HILLER, M.D., P.C. PENSION PLAN 401k Plan overview

Plan Name	STEPHEN HILLER, M.D., P.C. PENSION PLAN
Plan identification number	001

STEPHEN HILLER, M.D., P.C. PENSION PLAN Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Benefits are primarily pay related

401k Sponsoring company profile

STEPHEN HILLER, M.D., P.C. has sponsored the creation of one or more 401k plans.

Company Name: STEPHEN HILLER, M.D., P.C.

Employer identification number (EIN): 112439767

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STEPHEN HILLER, M.D., P.C. PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 STEPHEN HILLER 2017-10-13 STEPHEN HILLER 2017-10-13
001 2014-01-01 STEPHEN HILLER 2015-09-28 STEPHEN HILLER 2015-09-28
001 2013-01-01 STEPHEN HILLER 2014-10-05 STEPHEN HILLER 2014-10-05
001 2012-01-01 STEPHEN HILLER 2013-10-05 STEPHEN HILLER 2013-10-05
001 2011-01-01 STEPHEN HILLER 2012-10-09 STEPHEN HILLER 2012-10-09
001 2010-01-01 STEPHEN HILLER 2011-10-05 STEPHEN HILLER 2011-10-05
001 2009-01-01 STEPHEN HILLER STEPHEN HILLER 2010-10-04

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2016-01-01	STEPHEN HILLER	2017-10-13	STEPHEN HILLER	2017-10-13
001	2014-01-01	STEPHEN HILLER	2015-09-28	STEPHEN HILLER	2015-09-28
001	2013-01-01	STEPHEN HILLER	2014-10-05	STEPHEN HILLER	2014-10-05
001	2012-01-01	STEPHEN HILLER	2013-10-05	STEPHEN HILLER	2013-10-05
001	2011-01-01	STEPHEN HILLER	2012-10-09	STEPHEN HILLER	2012-10-09
001	2010-01-01	STEPHEN HILLER	2011-10-05	STEPHEN HILLER	2011-10-05
001	2009-01-01	STEPHEN HILLER		STEPHEN HILLER	2010-10-04

Plan Statistics for STEPHEN HILLER, M.D., P.C. PENSION PLAN

401k plan membership statisitcs for STEPHEN HILLER, M.D., P.C. PENSION PLAN

Measure Date Value
2016: STEPHEN HILLER, M.D., P.C. PENSION PLAN 2016 401k membership
Market value of plan assets 2016-12-31 496,362
Acturial value of plan assets 2016-12-31 496,362
Funding target for retired participants and beneficiaries receiving payment 2016-12-31 0
Number of terminated vested participants 2016-12-31 0
Fundng target for terminated vested participants 2016-12-31 0
Active participant vested funding target 2016-12-31 623,448
Number of active participants 2016-12-31 2
Total funding liabilities for active participants 2016-12-31 623,448
Total participant count 2016-12-31 2
Total funding target for all participants 2016-12-31 623,448
Balance at beginning of prior year after applicable adjustments 2016-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2016-12-31 1,767
Carryover balanced portion elected for use to offset prior years funding requirement 2016-12-31 0
Prefunding balanced used to offset prior years funding requirement 2016-12-31 1,767
Amount remaining of carryover balance 2016-12-31 0
Amount remaining of prefunding balance 2016-12-31 0
Present value of excess contributions 2016-12-31 728
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2016-12-31 772
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2016-12-31 772
Reductions in caryover balances due to elections or deemed elections 2016-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2016-12-31 0
Balance of carryovers at beginning of current year 2016-12-31 0
Balance of prefunding at beginning of current year 2016-12-31 772
Contributions allocated toward unpaid minimum require contributions from prior years 2016-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2016-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2016-12-31 0
Liquidity shortfalls end of Q1 2016-12-31 0
Liquidity shortfalls end of Q2 2016-12-31 0
Liquidity shortfalls end of Q3 2016-12-31 0
Liquidity shortfalls end of Q4 2016-12-31 0
Unpaid minimum required contributions for all prior years 2016-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2016-12-31 0
Remaining amount of unpaid minimum required contributions 2016-12-31 0
Minimum required contributions for current year target normal cost 2016-12-31 0
Net shortfall amortization installment of oustanding balance 2016-12-31 127,086
Waiver amortization installment 2016-12-31 0
Waived amount of outstanding balance 2016-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2016-12-31 13,074
Additional cash requirement 2016-12-31 13,074
Contributions allocatedtoward minimum required contributions for current year 2016-12-31 0
Unpaid minimum required contributions for current year 2016-12-31 13,074
Unpaid minimum required contributions for all years 2016-12-31 13,074
2009: STEPHEN HILLER, M.D., P.C. PENSION 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
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 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2016: STEPHEN HILLER, M.D., P.C. PENSION PLAN 2016 401k membership
Market value of plan assets	2016-12-31	496,362
Acturial value of plan assets	2016-12-31	496,362
Funding target for retired participants and beneficiaries receiving payment	2016-12-31	0
Number of terminated vested participants	2016-12-31	0
Fundng target for terminated vested participants	2016-12-31	0
Active participant vested funding target	2016-12-31	623,448
Number of active participants	2016-12-31	2
Total funding liabilities for active participants	2016-12-31	623,448
Total participant count	2016-12-31	2
Total funding target for all participants	2016-12-31	623,448
Balance at beginning of prior year after applicable adjustments	2016-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2016-12-31	1,767
Carryover balanced portion elected for use to offset prior years funding requirement	2016-12-31	0
Prefunding balanced used to offset prior years funding requirement	2016-12-31	1,767
Amount remaining of carryover balance	2016-12-31	0
Amount remaining of prefunding balance	2016-12-31	0
Present value of excess contributions	2016-12-31	728
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2016-12-31	772
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2016-12-31	772
Reductions in caryover balances due to elections or deemed elections	2016-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2016-12-31	0
Balance of carryovers at beginning of current year	2016-12-31	0
Balance of prefunding at beginning of current year	2016-12-31	772
Contributions allocated toward unpaid minimum require contributions from prior years	2016-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2016-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2016-12-31	0
Liquidity shortfalls end of Q1	2016-12-31	0
Liquidity shortfalls end of Q2	2016-12-31	0
Liquidity shortfalls end of Q3	2016-12-31	0
Liquidity shortfalls end of Q4	2016-12-31	0
Unpaid minimum required contributions for all prior years	2016-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2016-12-31	0
Remaining amount of unpaid minimum required contributions	2016-12-31	0
Minimum required contributions for current year target normal cost	2016-12-31	0
Net shortfall amortization installment of oustanding balance	2016-12-31	127,086
Waiver amortization installment	2016-12-31	0
Waived amount of outstanding balance	2016-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2016-12-31	13,074
Additional cash requirement	2016-12-31	13,074
Contributions allocatedtoward minimum required contributions for current year	2016-12-31	0
Unpaid minimum required contributions for current year	2016-12-31	13,074
Unpaid minimum required contributions for all years	2016-12-31	13,074
2009: STEPHEN HILLER, M.D., P.C. PENSION 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
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	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Form 5500 Responses for STEPHEN HILLER, M.D., P.C. PENSION PLAN

2009: STEPHEN HILLER, M.D., P.C. PENSION 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 – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	STEPHEN HILLER, M.D., P.C.
Employer identification number (EIN):	112439767
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)