401k Plan data: DEFINED CONTRIBUTION PROFIT SHARING PLAN plan

DEFINED CONTRIBUTION PROFIT SHARING PLAN 401k Plan overview

Plan Name	DEFINED CONTRIBUTION PROFIT SHARING PLAN
Plan identification number	001

DEFINED CONTRIBUTION 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. Plan covering Self-Employed individuals.

401k Sponsoring company profile

GARY L. BECKER, MD has sponsored the creation of one or more 401k plans.

Company Name: GARY L. BECKER, MD

Employer identification number (EIN): 232106097

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DEFINED CONTRIBUTION PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 GARY L BECKER MD 2015-06-18 GARY L BECKER MD 2015-06-18
001 2013-01-01 GARY L BECKER MD GARY L BECKER MD 2014-06-02
001 2012-01-01 GARY L BECKER MD GARY L BECKER MD 2013-05-29
001 2011-01-01 GARY L BECKER MD GARY L BECKER MD 2012-07-17
001 2009-01-01 GARY L BECKER MD

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2014-01-01	GARY L BECKER MD	2015-06-18	GARY L BECKER MD	2015-06-18
001	2013-01-01	GARY L BECKER MD		GARY L BECKER MD	2014-06-02
001	2012-01-01	GARY L BECKER MD		GARY L BECKER MD	2013-05-29
001	2011-01-01	GARY L BECKER MD		GARY L BECKER MD	2012-07-17
001	2009-01-01	GARY L BECKER MD

Plan Statistics for DEFINED CONTRIBUTION PROFIT SHARING PLAN

401k plan membership statisitcs for DEFINED CONTRIBUTION PROFIT SHARING PLAN

Measure Date Value
2013: DEFINED CONTRIBUTION PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 1
Number of participants with account balances 2013-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: DEFINED CONTRIBUTION PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2
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 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 2
Number of participants with account balances 2012-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: DEFINED CONTRIBUTION PROFIT SHARING 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
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 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 2
Number of participants with account balances 2011-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: DEFINED CONTRIBUTION PROFIT SHARING 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
Number of participants with account balances 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
2013: DEFINED CONTRIBUTION PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	1
Number of participants with account balances	2013-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: DEFINED CONTRIBUTION PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2
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	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	2
Number of participants with account balances	2012-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: DEFINED CONTRIBUTION PROFIT SHARING 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
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	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	2
Number of participants with account balances	2011-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: DEFINED CONTRIBUTION PROFIT SHARING 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
Number of participants with account balances	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

Financial Data on DEFINED CONTRIBUTION PROFIT SHARING PLAN

Measure	Date	Value
2013 : DEFINED CONTRIBUTION PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$45,767
Expenses. Total of all expenses incurred	2013-12-31	$1,008,653
Total plan assets at end of year	2013-12-31	$106,603
Total plan assets at beginning of year	2013-12-31	$1,069,489
Other income received	2013-12-31	$45,767
Net income (gross income less expenses)	2013-12-31	$-962,886
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$106,603
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,069,489
Value of certain deemed distributions of participant loans	2013-12-31	$1,008,653
2012 : DEFINED CONTRIBUTION PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$137,777
Total plan assets at end of year	2012-12-31	$1,069,489
Total plan assets at beginning of year	2012-12-31	$931,712
Total contributions received or receivable from participants	2012-12-31	$4,256
Other income received	2012-12-31	$94,326
Net income (gross income less expenses)	2012-12-31	$137,777
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,069,489
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$931,712
Total contributions received or receivable from employer(s)	2012-12-31	$39,195
2011 : DEFINED CONTRIBUTION PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$22,880
Total plan assets at end of year	2011-12-31	$931,712
Total plan assets at beginning of year	2011-12-31	$908,832
Total contributions received or receivable from participants	2011-12-31	$3,404
Other income received	2011-12-31	$-524
Net income (gross income less expenses)	2011-12-31	$22,880
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$931,712
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$908,832
Total contributions received or receivable from employer(s)	2011-12-31	$20,000
2010 : DEFINED CONTRIBUTION PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$85,593
Total plan assets at end of year	2010-12-31	$908,832
Total plan assets at beginning of year	2010-12-31	$823,239
Total contributions received or receivable from participants	2010-12-31	$2,957
Other income received	2010-12-31	$67,636
Net income (gross income less expenses)	2010-12-31	$85,593
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$908,832
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$823,239
Total contributions received or receivable from employer(s)	2010-12-31	$15,000

Form 5500 Responses for DEFINED CONTRIBUTION PROFIT SHARING PLAN

2013: DEFINED CONTRIBUTION PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: DEFINED CONTRIBUTION PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: DEFINED CONTRIBUTION 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
2009: DEFINED CONTRIBUTION PROFIT SHARING 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	GARY L. BECKER, MD
Employer identification number (EIN):	232106097
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)