401k Plan data: THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN plan

THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN 401k Plan overview

Plan Name	THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN
Plan identification number	003

THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

NORTHEAST MICHIGAN PULMONARY ASSOC has sponsored the creation of one or more 401k plans.

Company Name: NORTHEAST MICHIGAN PULMONARY ASSOC

Employer identification number (EIN): 382322061

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2015-01-01 THOMAS E. DAMUTH M.D.
003 2014-01-01 THOMAS E. DAMUTH M.D.
003 2013-01-01 THOMAS E. DAMUTH M.D.
003 2012-01-01 THOMAS E. DAMUTH M.D.
003 2011-01-01 THOMAS E. DAMUTH, M.D.
003 2010-01-01 THOMAS E. DAMUTH, M.D.
003 2009-01-01 THOMAS E. DAMUTH, M.D.

Plan id#	Filing Submission Date	Name of Administrator
003	2015-01-01	THOMAS E. DAMUTH M.D.
003	2014-01-01	THOMAS E. DAMUTH M.D.
003	2013-01-01	THOMAS E. DAMUTH M.D.
003	2012-01-01	THOMAS E. DAMUTH M.D.
003	2011-01-01	THOMAS E. DAMUTH, M.D.
003	2010-01-01	THOMAS E. DAMUTH, M.D.
003	2009-01-01	THOMAS E. DAMUTH, M.D.

Plan Statistics for THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN

401k plan membership statisitcs for THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN

Measure Date Value
2015: THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 14
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
Number of participants with account balances 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: THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 14
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 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 14
Number of participants with account balances 2014-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 15
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 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 15
Number of participants with account balances 2013-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 17
Total of all active and inactive participants 2012-01-01 17
Total participants 2012-01-01 17
2011: THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 16
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 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 16
Number of participants with account balances 2011-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 16
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 16
Number of participants with account balances 2010-01-01 16
2009: THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 15
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 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 15
Number of participants with account balances 2009-01-01 15

Measure	Date	Value
2015: THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	14
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
Number of participants with account balances	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: THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	14
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	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	14
Number of participants with account balances	2014-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	15
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	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	15
Number of participants with account balances	2013-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	17
Total of all active and inactive participants	2012-01-01	17
Total participants	2012-01-01	17
2011: THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	16
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	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	16
Number of participants with account balances	2011-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	16
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	16
Number of participants with account balances	2010-01-01	16
2009: THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	15
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	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	15
Number of participants with account balances	2009-01-01	15

Financial Data on THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN

Measure	Date	Value
2015 : THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$-223,813
Expenses. Total of all expenses incurred	2015-12-31	$3,365,489
Benefits paid (including direct rollovers)	2015-12-31	$3,365,489
Total plan assets at end of year	2015-12-31	$0
Total plan assets at beginning of year	2015-12-31	$3,589,302
Other income received	2015-12-31	$-223,813
Net income (gross income less expenses)	2015-12-31	$-3,589,302
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$3,589,302
2014 : THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$280,007
Expenses. Total of all expenses incurred	2014-12-31	$161,605
Benefits paid (including direct rollovers)	2014-12-31	$136,004
Total plan assets at end of year	2014-12-31	$3,589,302
Total plan assets at beginning of year	2014-12-31	$3,470,900
Value of fidelity bond covering the plan	2014-12-31	$210,000
Assets. Value of loans (other than to participants)	2014-12-31	$21,898
Other income received	2014-12-31	$179,631
Net income (gross income less expenses)	2014-12-31	$118,402
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$3,589,302
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$3,470,900
Total contributions received or receivable from employer(s)	2014-12-31	$100,376
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$25,601
2013 : THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$446,503
Expenses. Total of all expenses incurred	2013-12-31	$167,908
Benefits paid (including direct rollovers)	2013-12-31	$146,209
Total plan assets at end of year	2013-12-31	$3,470,900
Total plan assets at beginning of year	2013-12-31	$3,192,305
Value of fidelity bond covering the plan	2013-12-31	$210,000
Assets. Value of loans (other than to participants)	2013-12-31	$22,850
Other income received	2013-12-31	$299,665
Net income (gross income less expenses)	2013-12-31	$278,595
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$3,470,900
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$3,192,305
Total contributions received or receivable from employer(s)	2013-12-31	$146,838
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$21,699
2012 : THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$471,150
Expenses. Total of all expenses incurred	2012-12-31	$20,716
Total plan assets at end of year	2012-12-31	$3,192,305
Total plan assets at beginning of year	2012-12-31	$2,741,871
Value of fidelity bond covering the plan	2012-12-31	$210,000
Assets. Value of loans (other than to participants)	2012-12-31	$22,850
Other income received	2012-12-31	$349,585
Net income (gross income less expenses)	2012-12-31	$450,434
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$3,192,305
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$2,741,871
Total contributions received or receivable from employer(s)	2012-12-31	$121,565
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$20,716
2011 : THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$1,261
Expenses. Total of all expenses incurred	2011-12-31	$195,457
Benefits paid (including direct rollovers)	2011-12-31	$171,463
Total plan assets at end of year	2011-12-31	$2,741,871
Total plan assets at beginning of year	2011-12-31	$2,936,067
Value of fidelity bond covering the plan	2011-12-31	$210,000
Assets. Value of loans (other than to participants)	2011-12-31	$22,850
Other income received	2011-12-31	$-108,130
Net income (gross income less expenses)	2011-12-31	$-194,196
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$2,741,871
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$2,936,067
Assets. Value of participant loans	2011-12-31	$12,649
Total contributions received or receivable from employer(s)	2011-12-31	$109,391
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$23,994
2010 : THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$497,801
Expenses. Total of all expenses incurred	2010-12-31	$23,094
Total plan assets at end of year	2010-12-31	$2,936,067
Total plan assets at beginning of year	2010-12-31	$2,461,360
Value of fidelity bond covering the plan	2010-12-31	$210,000
Assets. Value of loans (other than to participants)	2010-12-31	$22,850
Other income received	2010-12-31	$269,758
Net income (gross income less expenses)	2010-12-31	$474,707
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$2,936,067
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$2,461,360
Assets. Value of participant loans	2010-12-31	$12,649
Total contributions received or receivable from employer(s)	2010-12-31	$228,043
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$23,094

Form 5500 Responses for THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN

2015: THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	This submission is the final filing	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES 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: THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES 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: THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES 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: THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES 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
2010: THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN 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: THOMAS E. DAMUTH, M.D., P.C. EMPLOYEES PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	NORTHEAST MICHIGAN PULMONARY ASSOC
Employer identification number (EIN):	382322061
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)