401k Plan data: DAVID SLAVIT MD PC PROTOTYPE PSP plan

DAVID SLAVIT MD PC PROTOTYPE PSP 401k Plan overview

Plan Name	DAVID SLAVIT MD PC PROTOTYPE PSP
Plan identification number	001

DAVID SLAVIT MD PC PROTOTYPE PSP 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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

DAVID SLAVIT MD PC has sponsored the creation of one or more 401k plans.

Company Name: DAVID SLAVIT MD PC

Employer identification number (EIN): 133804803

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DAVID SLAVIT MD PC PROTOTYPE PSP

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-01-01 DAVID SLAVIT
001 2011-01-01 DAVID SLAVIT
001 2009-01-01 DAVID SLAVIT

Plan id#	Filing Submission Date	Name of Administrator
001	2012-01-01	DAVID SLAVIT
001	2011-01-01	DAVID SLAVIT
001	2009-01-01	DAVID SLAVIT

Plan Statistics for DAVID SLAVIT MD PC PROTOTYPE PSP

401k plan membership statisitcs for DAVID SLAVIT MD PC PROTOTYPE PSP

Measure Date Value
2012: DAVID SLAVIT MD PC PROTOTYPE PSP 2012 401k membership
Total participants, beginning-of-year 2012-01-01 3
Total number of active participants reported on line 7a of the Form 5500 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
Total participants 2012-01-01 0
Number of participants with account balances 2012-01-01 0
2011: DAVID SLAVIT MD PC PROTOTYPE PSP 2011 401k membership
Total participants, beginning-of-year 2011-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2
Number of other retired or separated participants entitled to future benefits 2011-01-01 1
Total of all active and inactive participants 2011-01-01 3
Total participants 2011-01-01 3
Number of participants with account balances 2011-01-01 3
2009: DAVID SLAVIT MD PC PROTOTYPE PSP 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 2
Number of other retired or separated participants entitled to future benefits 2009-01-01 1
Total of all active and inactive participants 2009-01-01 3
Total participants 2009-01-01 3
Number of participants with account balances 2009-01-01 3

Measure	Date	Value
2012: DAVID SLAVIT MD PC PROTOTYPE PSP 2012 401k membership
Total participants, beginning-of-year	2012-01-01	3
Total number of active participants reported on line 7a of the Form 5500	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
Total participants	2012-01-01	0
Number of participants with account balances	2012-01-01	0
2011: DAVID SLAVIT MD PC PROTOTYPE PSP 2011 401k membership
Total participants, beginning-of-year	2011-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2
Number of other retired or separated participants entitled to future benefits	2011-01-01	1
Total of all active and inactive participants	2011-01-01	3
Total participants	2011-01-01	3
Number of participants with account balances	2011-01-01	3
2009: DAVID SLAVIT MD PC PROTOTYPE PSP 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	2
Number of other retired or separated participants entitled to future benefits	2009-01-01	1
Total of all active and inactive participants	2009-01-01	3
Total participants	2009-01-01	3
Number of participants with account balances	2009-01-01	3

Financial Data on DAVID SLAVIT MD PC PROTOTYPE PSP

Measure	Date	Value
2012 : DAVID SLAVIT MD PC PROTOTYPE PSP 2012 401k financial data
Total income from all sources	2012-12-31	$3,589
Expenses. Total of all expenses incurred	2012-12-31	$343,988
Benefits paid (including direct rollovers)	2012-12-31	$342,994
Total plan assets at end of year	2012-12-31	$0
Total plan assets at beginning of year	2012-12-31	$340,399
Value of fidelity bond covering the plan	2012-12-31	$10,000
Other income received	2012-12-31	$3,589
Net income (gross income less expenses)	2012-12-31	$-340,399
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	$340,399
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$994
2011 : DAVID SLAVIT MD PC PROTOTYPE PSP 2011 401k financial data
Total income from all sources	2011-12-31	$-23,104
Expenses. Total of all expenses incurred	2011-12-31	$3,906
Total plan assets at end of year	2011-12-31	$340,399
Total plan assets at beginning of year	2011-12-31	$367,409
Value of fidelity bond covering the plan	2011-12-31	$10,000
Other income received	2011-12-31	$-23,104
Net income (gross income less expenses)	2011-12-31	$-27,010
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$340,399
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$367,409
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$3,906
2010 : DAVID SLAVIT MD PC PROTOTYPE PSP 2010 401k financial data
Total income from all sources	2010-12-31	$27,469
Expenses. Total of all expenses incurred	2010-12-31	$3,931
Total plan assets at end of year	2010-12-31	$367,409
Total plan assets at beginning of year	2010-12-31	$343,871
Value of fidelity bond covering the plan	2010-12-31	$10,000
Other income received	2010-12-31	$27,469
Net income (gross income less expenses)	2010-12-31	$23,538
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$367,409
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$343,871
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$3,931

Form 5500 Responses for DAVID SLAVIT MD PC PROTOTYPE PSP

2012: DAVID SLAVIT MD PC PROTOTYPE PSP 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: DAVID SLAVIT MD PC PROTOTYPE PSP 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: DAVID SLAVIT MD PC PROTOTYPE PSP 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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Company Name:	DAVID SLAVIT MD PC
Employer identification number (EIN):	133804803
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)