401k Plan data: PROFIT SHARING PLAN FOR THE EMPLOYEES OF HEMANTHA M SURATH MD plan

PROFIT SHARING PLAN FOR THE EMPLOYEES OF HEMANTHA M SURATH MD 401k Plan overview

Plan Name	PROFIT SHARING PLAN FOR THE EMPLOYEES OF HEMANTHA M SURATH MD
Plan identification number	002

PROFIT SHARING PLAN FOR THE EMPLOYEES OF HEMANTHA M SURATH MD Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	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.

401k Sponsoring company profile

HEMANTHA M SURATH MD has sponsored the creation of one or more 401k plans.

Company Name: HEMANTHA M SURATH MD

Employer identification number (EIN): 364410785

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROFIT SHARING PLAN FOR THE EMPLOYEES OF HEMANTHA M SURATH MD

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2012-01-01 HEMANTHA M SURATH HEMANTHA M SURATH 2013-07-09
002 2011-01-01 HEMANTHA M SURATH HEMANTHA M SURATH 2012-07-20
002 2010-01-01 HEMANTHA M SURATH HEMANTHA M SURATH 2011-10-05
002 2009-01-01 HEMANTHA M SURATH HEMANTHA M SURATH 2010-09-07

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2012-01-01	HEMANTHA M SURATH	HEMANTHA M SURATH	2013-07-09
002	2011-01-01	HEMANTHA M SURATH	HEMANTHA M SURATH	2012-07-20
002	2010-01-01	HEMANTHA M SURATH	HEMANTHA M SURATH	2011-10-05
002	2009-01-01	HEMANTHA M SURATH	HEMANTHA M SURATH	2010-09-07

Plan Statistics for PROFIT SHARING PLAN FOR THE EMPLOYEES OF HEMANTHA M SURATH MD

401k plan membership statisitcs for PROFIT SHARING PLAN FOR THE EMPLOYEES OF HEMANTHA M SURATH MD

Measure Date Value
2012: PROFIT SHARING PLAN FOR THE EMPLOYEES OF HEMANTHA M SURATH MD 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 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: PROFIT SHARING PLAN FOR THE EMPLOYEES OF HEMANTHA M SURATH MD 2011 401k membership
Total participants, beginning-of-year 2011-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2
Total of all active and inactive participants 2011-01-01 2
Total participants 2011-01-01 2
Number of participants with account balances 2011-01-01 4
2010: PROFIT SHARING PLAN FOR THE EMPLOYEES OF HEMANTHA M SURATH MD 2010 401k membership
Total participants, beginning-of-year 2010-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 4
Total of all active and inactive participants 2010-01-01 4
Total participants 2010-01-01 4
Number of participants with account balances 2010-01-01 4
2009: PROFIT SHARING PLAN FOR THE EMPLOYEES OF HEMANTHA M SURATH MD 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 4
Total of all active and inactive participants 2009-01-01 4
Total participants 2009-01-01 4
Number of participants with account balances 2009-01-01 4

Measure	Date	Value
2012: PROFIT SHARING PLAN FOR THE EMPLOYEES OF HEMANTHA M SURATH MD 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	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: PROFIT SHARING PLAN FOR THE EMPLOYEES OF HEMANTHA M SURATH MD 2011 401k membership
Total participants, beginning-of-year	2011-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2
Total of all active and inactive participants	2011-01-01	2
Total participants	2011-01-01	2
Number of participants with account balances	2011-01-01	4
2010: PROFIT SHARING PLAN FOR THE EMPLOYEES OF HEMANTHA M SURATH MD 2010 401k membership
Total participants, beginning-of-year	2010-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	4
Total of all active and inactive participants	2010-01-01	4
Total participants	2010-01-01	4
Number of participants with account balances	2010-01-01	4
2009: PROFIT SHARING PLAN FOR THE EMPLOYEES OF HEMANTHA M SURATH MD 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	4
Total of all active and inactive participants	2009-01-01	4
Total participants	2009-01-01	4
Number of participants with account balances	2009-01-01	4

Financial Data on PROFIT SHARING PLAN FOR THE EMPLOYEES OF HEMANTHA M SURATH MD

Measure	Date	Value
2012 : PROFIT SHARING PLAN FOR THE EMPLOYEES OF HEMANTHA M SURATH MD 2012 401k financial data
Total income from all sources	2012-12-31	$947
Expenses. Total of all expenses incurred	2012-12-31	$636,982
Benefits paid (including direct rollovers)	2012-12-31	$636,982
Total plan assets at beginning of year	2012-12-31	$636,035
Other income received	2012-12-31	$947
Net income (gross income less expenses)	2012-12-31	$-636,035
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$636,035
2011 : PROFIT SHARING PLAN FOR THE EMPLOYEES OF HEMANTHA M SURATH MD 2011 401k financial data
Total income from all sources	2011-12-31	$42,936
Total plan assets at end of year	2011-12-31	$636,035
Total plan assets at beginning of year	2011-12-31	$593,099
Other income received	2011-12-31	$1,694
Net income (gross income less expenses)	2011-12-31	$42,936
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$636,035
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$593,099
Total contributions received or receivable from employer(s)	2011-12-31	$41,242
2010 : PROFIT SHARING PLAN FOR THE EMPLOYEES OF HEMANTHA M SURATH MD 2010 401k financial data
Total income from all sources	2010-12-31	$59,857
Total plan assets at end of year	2010-12-31	$593,099
Total plan assets at beginning of year	2010-12-31	$533,242
Other income received	2010-12-31	$4,752
Net income (gross income less expenses)	2010-12-31	$59,857
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$593,099
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$533,242
Total contributions received or receivable from employer(s)	2010-12-31	$55,105

Form 5500 Responses for PROFIT SHARING PLAN FOR THE EMPLOYEES OF HEMANTHA M SURATH MD

2012: PROFIT SHARING PLAN FOR THE EMPLOYEES OF HEMANTHA M SURATH MD 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: PROFIT SHARING PLAN FOR THE EMPLOYEES OF HEMANTHA M SURATH MD 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
2010: PROFIT SHARING PLAN FOR THE EMPLOYEES OF HEMANTHA M SURATH MD 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: PROFIT SHARING PLAN FOR THE EMPLOYEES OF HEMANTHA M SURATH MD 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:	HEMANTHA M SURATH MD
Employer identification number (EIN):	364410785
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)