401k Plan data: FRANCISCO A. MATEO, M.D., INC., PROFIT SHARING PLAN plan

FRANCISCO A. MATEO, M.D., INC., PROFIT SHARING PLAN 401k Plan overview

Plan Name	FRANCISCO A. MATEO, M.D., INC., PROFIT SHARING PLAN
Plan identification number	002

FRANCISCO A. MATEO, M.D., INC., PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing 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

FRANCISCO A. MATEO, M.D., INC. has sponsored the creation of one or more 401k plans.

Company Name: FRANCISCO A. MATEO, M.D., INC.

Employer identification number (EIN): 341891684

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FRANCISCO A. MATEO, M.D., INC., PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2017-01-01 FRANK BEVILACQUA 2018-03-07
002 2016-01-01 FRANK BEVILACQUA 2017-10-16
002 2015-01-01 SEAN P. LACKEY
002 2014-01-01 SEAN P. LACKEY
002 2013-01-01 SEAN P. LACKEY
002 2012-01-01 SEAN P. LACKEY

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2017-01-01	FRANK BEVILACQUA	2018-03-07
002	2016-01-01	FRANK BEVILACQUA	2017-10-16
002	2015-01-01	SEAN P. LACKEY
002	2014-01-01	SEAN P. LACKEY
002	2013-01-01	SEAN P. LACKEY
002	2012-01-01	SEAN P. LACKEY

Plan Statistics for FRANCISCO A. MATEO, M.D., INC., PROFIT SHARING PLAN

401k plan membership statisitcs for FRANCISCO A. MATEO, M.D., INC., PROFIT SHARING PLAN

Measure Date Value
2015: FRANCISCO A. MATEO, M.D., INC., PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: FRANCISCO A. MATEO, M.D., INC., PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: FRANCISCO A. MATEO, M.D., INC., PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1
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: FRANCISCO A. MATEO, M.D., INC., PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 1
Number of participants with account balances 2012-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0

Measure	Date	Value
2015: FRANCISCO A. MATEO, M.D., INC., PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: FRANCISCO A. MATEO, M.D., INC., PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: FRANCISCO A. MATEO, M.D., INC., PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1
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: FRANCISCO A. MATEO, M.D., INC., PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	1
Number of participants with account balances	2012-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0

Financial Data on FRANCISCO A. MATEO, M.D., INC., PROFIT SHARING PLAN

Measure	Date	Value
2015 : FRANCISCO A. MATEO, M.D., INC., PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$-16,739
Total plan assets at end of year	2015-12-31	$682,158
Total plan assets at beginning of year	2015-12-31	$698,897
Other income received	2015-12-31	$-16,739
Net income (gross income less expenses)	2015-12-31	$-16,739
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$682,158
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$698,897
2014 : FRANCISCO A. MATEO, M.D., INC., PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$47,268
Total plan assets at end of year	2014-12-31	$698,897
Total plan assets at beginning of year	2014-12-31	$651,629
Other income received	2014-12-31	$47,268
Net income (gross income less expenses)	2014-12-31	$47,268
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$698,897
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$651,629
2013 : FRANCISCO A. MATEO, M.D., INC., PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$114,931
Total plan assets at end of year	2013-12-31	$651,629
Total plan assets at beginning of year	2013-12-31	$536,698
Other income received	2013-12-31	$114,931
Net income (gross income less expenses)	2013-12-31	$114,931
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$651,629
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$536,698
2012 : FRANCISCO A. MATEO, M.D., INC., PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$48,784
Total plan assets at end of year	2012-12-31	$536,698
Total plan assets at beginning of year	2012-12-31	$487,914
Other income received	2012-12-31	$48,784
Net income (gross income less expenses)	2012-12-31	$48,784
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$536,698
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$487,914

Form 5500 Responses for FRANCISCO A. MATEO, M.D., INC., PROFIT SHARING PLAN

2015: FRANCISCO A. MATEO, M.D., INC., PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: FRANCISCO A. MATEO, M.D., INC., PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: FRANCISCO A. MATEO, M.D., INC., 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: FRANCISCO A. MATEO, M.D., INC., 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

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Company Name:	FRANCISCO A. MATEO, M.D., INC.
Employer identification number (EIN):	341891684
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)