401k Plan data: JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST plan

JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST 401k Plan overview

Plan Name	JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST
Plan identification number	003

JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
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.
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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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) received services of leased employees, as defined in Code section 414(n), during the plan year.

401k Sponsoring company profile

JAMES D. SCHLENKER has sponsored the creation of one or more 401k plans.

Company Name: JAMES D. SCHLENKER

Employer identification number (EIN): 363100387

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2018-01-01
003 2017-01-01
003 2016-01-01
003 2015-01-01
003 2014-01-01
003 2013-01-01 JAMES SCHLENKER
003 2012-01-01 JAMES SCHLENKER
003 2011-01-01 JAMES SCHLENKER
003 2010-01-01 JAMES SCHLENKER
003 2009-01-01 JAMES SCHLENKER
003 2009-01-01 JAMES SCHLENKER 2010-05-28

Plan Statistics for JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST

401k plan membership statisitcs for JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST

Measure Date Value
2013: JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 43
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 22
Number of retired or separated participants receiving benefits 2013-01-01 22
Total of all active and inactive participants 2013-01-01 44
Total participants 2013-01-01 44
Number of participants with account balances 2013-01-01 44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 46
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 22
Number of retired or separated participants receiving benefits 2012-01-01 21
Total of all active and inactive participants 2012-01-01 43
Total participants 2012-01-01 43
Number of participants with account balances 2012-01-01 43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 42
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 30
Number of retired or separated participants receiving benefits 2011-01-01 16
Total of all active and inactive participants 2011-01-01 46
Total participants 2011-01-01 46
Number of participants with account balances 2011-01-01 46
2010: JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST 2010 401k membership
Total participants, beginning-of-year 2010-01-01 45
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 33
Number of retired or separated participants receiving benefits 2010-01-01 9
Total of all active and inactive participants 2010-01-01 42
Total participants 2010-01-01 42
Number of participants with account balances 2010-01-01 42
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 2
2009: JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 47
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 32
Number of retired or separated participants receiving benefits 2009-01-01 13
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 45
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 45
Number of participants with account balances 2009-01-01 45
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: JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	43
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	22
Number of retired or separated participants receiving benefits	2013-01-01	22
Total of all active and inactive participants	2013-01-01	44
Total participants	2013-01-01	44
Number of participants with account balances	2013-01-01	44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	46
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	22
Number of retired or separated participants receiving benefits	2012-01-01	21
Total of all active and inactive participants	2012-01-01	43
Total participants	2012-01-01	43
Number of participants with account balances	2012-01-01	43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	42
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	30
Number of retired or separated participants receiving benefits	2011-01-01	16
Total of all active and inactive participants	2011-01-01	46
Total participants	2011-01-01	46
Number of participants with account balances	2011-01-01	46
2010: JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST 2010 401k membership
Total participants, beginning-of-year	2010-01-01	45
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	33
Number of retired or separated participants receiving benefits	2010-01-01	9
Total of all active and inactive participants	2010-01-01	42
Total participants	2010-01-01	42
Number of participants with account balances	2010-01-01	42
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	2
2009: JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	47
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	32
Number of retired or separated participants receiving benefits	2009-01-01	13
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	45
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	45
Number of participants with account balances	2009-01-01	45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST

Measure	Date	Value
2013 : JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST 2013 401k financial data
Total income from all sources	2013-12-31	$289,445
Expenses. Total of all expenses incurred	2013-12-31	$49,398
Benefits paid (including direct rollovers)	2013-12-31	$17,228
Total plan assets at end of year	2013-12-31	$3,002,684
Total plan assets at beginning of year	2013-12-31	$2,762,637
Total contributions received or receivable from participants	2013-12-31	$42,220
Expenses. Other expenses not covered elsewhere	2013-12-31	$20,173
Other income received	2013-12-31	$227,807
Net income (gross income less expenses)	2013-12-31	$240,047
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$3,002,684
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$2,762,637
Assets. Value of participant loans	2013-12-31	$10,255
Total contributions received or receivable from employer(s)	2013-12-31	$19,418
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$11,997
2012 : JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST 2012 401k financial data
Total income from all sources	2012-12-31	$336,812
Expenses. Total of all expenses incurred	2012-12-31	$61,583
Benefits paid (including direct rollovers)	2012-12-31	$33,022
Total plan assets at end of year	2012-12-31	$2,762,637
Total plan assets at beginning of year	2012-12-31	$2,487,408
Total contributions received or receivable from participants	2012-12-31	$27,651
Expenses. Other expenses not covered elsewhere	2012-12-31	$20,173
Other income received	2012-12-31	$293,209
Net income (gross income less expenses)	2012-12-31	$275,229
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$2,762,637
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$2,487,408
Assets. Value of participant loans	2012-12-31	$8,915
Total contributions received or receivable from employer(s)	2012-12-31	$15,952
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$8,388
2011 : JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST 2011 401k financial data
Total income from all sources	2011-12-31	$53,004
Expenses. Total of all expenses incurred	2011-12-31	$25,287
Total plan assets at end of year	2011-12-31	$2,487,408
Total plan assets at beginning of year	2011-12-31	$2,459,691
Total contributions received or receivable from participants	2011-12-31	$21,441
Expenses. Other expenses not covered elsewhere	2011-12-31	$20,173
Other income received	2011-12-31	$18,741
Net income (gross income less expenses)	2011-12-31	$27,717
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$2,487,408
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$2,459,691
Assets. Value of participant loans	2011-12-31	$8,493
Total contributions received or receivable from employer(s)	2011-12-31	$12,822
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$5,114
2010 : JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST 2010 401k financial data
Total income from all sources	2010-12-31	$245,338
Expenses. Total of all expenses incurred	2010-12-31	$55,590
Benefits paid (including direct rollovers)	2010-12-31	$29,676
Total plan assets at end of year	2010-12-31	$2,459,691
Total plan assets at beginning of year	2010-12-31	$2,269,943
Total contributions received or receivable from participants	2010-12-31	$11,614
Expenses. Other expenses not covered elsewhere	2010-12-31	$20,173
Other income received	2010-12-31	$216,515
Net income (gross income less expenses)	2010-12-31	$189,748
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$2,459,691
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$2,269,943
Assets. Value of participant loans	2010-12-31	$8,935
Total contributions received or receivable from employer(s)	2010-12-31	$17,209
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$5,741

Form 5500 Responses for JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST

2013: JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST 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	No
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: JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST 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: JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
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
2010: JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: JAMES D. SCHLENKER M.D., S.C. PROFIT SHARING TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
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

Insurance Providers Used on plan

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )

Policy contract number

39845

Policy instance

Insurance contract or identification number	39845
Number of Individuals Covered	1
Insurance policy start date	2013-03-27
Insurance policy end date	2014-03-27
Total amount of commissions paid to insurance broker	USD $225
Total amount of fees paid to insurance company	USD $43
Are there contracts with allocated funds for individual policies?	Yes
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $175
Amount paid for insurance broker fees	36
Insurance broker organization code?	3
Insurance broker name	WILL G MUNNECKE

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )

Policy contract number

39845

Policy instance

Insurance contract or identification number	39845
Number of Individuals Covered	1
Insurance policy start date	2012-03-27
Insurance policy end date	2013-03-27
Total amount of commissions paid to insurance broker	USD $225
Total amount of fees paid to insurance company	USD $43
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $175
Insurance broker name	MCTIGUE FINANCIAL GROUP INC

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )

Policy contract number

39845

Policy instance

Insurance contract or identification number	39845
Number of Individuals Covered	1
Insurance policy start date	2011-03-27
Insurance policy end date	2012-03-27
Total amount of commissions paid to insurance broker	USD $175
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )

Policy contract number

39845

Policy instance

Insurance contract or identification number	39845
Number of Individuals Covered	1
Insurance policy start date	2010-03-27
Insurance policy end date	2011-03-27
Total amount of commissions paid to insurance broker	USD $175
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $175
Amount paid for insurance broker fees	0
Insurance broker name	WILL MUNECKE

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Company Name:	JAMES D. SCHLENKER
Employer identification number (EIN):	363100387
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
003	2018-01-01
003	2017-01-01
003	2016-01-01
003	2015-01-01
003	2014-01-01
003	2013-01-01	JAMES SCHLENKER
003	2012-01-01	JAMES SCHLENKER
003	2011-01-01	JAMES SCHLENKER
003	2010-01-01	JAMES SCHLENKER
003	2009-01-01	JAMES SCHLENKER
003	2009-01-01		JAMES SCHLENKER	2010-05-28