401k Plan data: NORTH IDAHO GASTROENTEROLOGY PLLC 401(K) PLAN plan

NORTH IDAHO GASTROENTEROLOGY PLLC 401(K) PLAN 401k Plan overview

Plan Name	NORTH IDAHO GASTROENTEROLOGY PLLC 401(K) PLAN
Plan identification number	002

NORTH IDAHO GASTROENTEROLOGY PLLC 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Plan covering Self-Employed individuals.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

NORTH IDAHO GASTROENTEROLOGY PLLC has sponsored the creation of one or more 401k plans.

Company Name: NORTH IDAHO GASTROENTEROLOGY PLLC

Employer identification number (EIN): 274026371

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH IDAHO GASTROENTEROLOGY PLLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2013-01-01 DALE STEVENS
002 2012-01-01 DALE STEVENS
002 2011-01-01 DALE STEVENS

Plan id#	Filing Submission Date	Name of Administrator
002	2013-01-01	DALE STEVENS
002	2012-01-01	DALE STEVENS
002	2011-01-01	DALE STEVENS

Plan Statistics for NORTH IDAHO GASTROENTEROLOGY PLLC 401(K) PLAN

401k plan membership statisitcs for NORTH IDAHO GASTROENTEROLOGY PLLC 401(K) PLAN

Measure Date Value
2013: NORTH IDAHO GASTROENTEROLOGY PLLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: NORTH IDAHO GASTROENTEROLOGY PLLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 20
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 11
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 2
Total of all active and inactive participants 2012-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 13
Number of participants with account balances 2012-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: NORTH IDAHO GASTROENTEROLOGY PLLC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 19
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 20
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 20
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 20
Number of participants with account balances 2011-01-01 20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2013: NORTH IDAHO GASTROENTEROLOGY PLLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: NORTH IDAHO GASTROENTEROLOGY PLLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	20
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	11
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	2
Total of all active and inactive participants	2012-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	13
Number of participants with account balances	2012-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: NORTH IDAHO GASTROENTEROLOGY PLLC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	19
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	20
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	20
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	20
Number of participants with account balances	2011-01-01	20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on NORTH IDAHO GASTROENTEROLOGY PLLC 401(K) PLAN

Measure	Date	Value
2013 : NORTH IDAHO GASTROENTEROLOGY PLLC 401(K) PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$24,015
Expenses. Total of all expenses incurred	2013-12-31	$1,247,720
Benefits paid (including direct rollovers)	2013-12-31	$1,247,720
Total plan assets at end of year	2013-12-31	$0
Total plan assets at beginning of year	2013-12-31	$1,223,705
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$24,015
Net income (gross income less expenses)	2013-12-31	$-1,223,705
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,223,705
Total contributions received or receivable from employer(s)	2013-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : NORTH IDAHO GASTROENTEROLOGY PLLC 401(K) PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$648,737
Expenses. Total of all expenses incurred	2012-12-31	$4,660,573
Benefits paid (including direct rollovers)	2012-12-31	$4,660,573
Total plan assets at end of year	2012-12-31	$1,223,705
Total plan assets at beginning of year	2012-12-31	$5,235,541
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$20,011
Other income received	2012-12-31	$568,154
Net income (gross income less expenses)	2012-12-31	$-4,011,836
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,223,705
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$5,235,541
Total contributions received or receivable from employer(s)	2012-12-31	$60,572
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : NORTH IDAHO GASTROENTEROLOGY PLLC 401(K) PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$534,391
Expenses. Total of all expenses incurred	2011-12-31	$45,254
Benefits paid (including direct rollovers)	2011-12-31	$45,254
Total plan assets at end of year	2011-12-31	$5,235,541
Total plan assets at beginning of year	2011-12-31	$4,746,404
Value of fidelity bond covering the plan	2011-12-31	$500,000
Total contributions received or receivable from participants	2011-12-31	$60,245
Other income received	2011-12-31	$399,045
Net income (gross income less expenses)	2011-12-31	$489,137
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$5,235,541
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$4,746,404
Total contributions received or receivable from employer(s)	2011-12-31	$75,101
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0

Form 5500 Responses for NORTH IDAHO GASTROENTEROLOGY PLLC 401(K) PLAN

2013: NORTH IDAHO GASTROENTEROLOGY PLLC 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	Yes
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: NORTH IDAHO GASTROENTEROLOGY PLLC 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: NORTH IDAHO GASTROENTEROLOGY PLLC 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	NORTH IDAHO GASTROENTEROLOGY PLLC
Employer identification number (EIN):	274026371
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)