401k Plan data: RONALD M. SANDA, M.D. PROFIT SHARING PLAN plan

RONALD M. SANDA, M.D. PROFIT SHARING PLAN 401k Plan overview

Plan Name	RONALD M. SANDA, M.D. PROFIT SHARING PLAN
Plan identification number	001

RONALD M. SANDA, M.D. PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing Plan covering Self-Employed individuals. 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

RONALD M. SANDA, M.D. has sponsored the creation of one or more 401k plans.

Company Name: RONALD M. SANDA, M.D.

Employer identification number (EIN): 382542322

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RONALD M. SANDA, M.D. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 RONALD M. SANDA
001 2015-01-01 RONALD M. SANDA
001 2014-01-01 RONALD M. SANDA
001 2013-01-01 RONALD M. SANDA
001 2012-01-01 RONALD M. SANDA
001 2011-01-01 RONALD M. SANDA
001 2009-01-01 RONALD M. SANDA RONALD M. SANDA 2010-07-29

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2016-01-01	RONALD M. SANDA
001	2015-01-01	RONALD M. SANDA
001	2014-01-01	RONALD M. SANDA
001	2013-01-01	RONALD M. SANDA
001	2012-01-01	RONALD M. SANDA
001	2011-01-01	RONALD M. SANDA
001	2009-01-01	RONALD M. SANDA	RONALD M. SANDA	2010-07-29

Plan Statistics for RONALD M. SANDA, M.D. PROFIT SHARING PLAN

401k plan membership statisitcs for RONALD M. SANDA, M.D. PROFIT SHARING PLAN

Measure Date Value
2016: RONALD M. SANDA, M.D. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: RONALD M. SANDA, M.D. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 2
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 1
Total of all active and inactive participants 2015-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 3
Number of participants with account balances 2015-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: RONALD M. SANDA, M.D. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 3
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 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 3
Number of participants with account balances 2014-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: RONALD M. SANDA, M.D. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 3
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 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 3
Number of participants with account balances 2013-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: RONALD M. SANDA, M.D. PROFIT SHARING PLAN 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 3
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 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 3
Number of participants with account balances 2012-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: RONALD M. SANDA, M.D. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2
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 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 2
Number of participants with account balances 2011-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: RONALD M. SANDA, M.D. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 1
Total participants 2009-01-01 2
Number of participants with account balances 2009-01-01 2

Measure	Date	Value
2016: RONALD M. SANDA, M.D. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: RONALD M. SANDA, M.D. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	2
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	1
Total of all active and inactive participants	2015-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	3
Number of participants with account balances	2015-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: RONALD M. SANDA, M.D. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	3
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	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	3
Number of participants with account balances	2014-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: RONALD M. SANDA, M.D. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	3
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	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	3
Number of participants with account balances	2013-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: RONALD M. SANDA, M.D. PROFIT SHARING PLAN 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	3
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	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	3
Number of participants with account balances	2012-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: RONALD M. SANDA, M.D. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2
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	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	2
Number of participants with account balances	2011-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: RONALD M. SANDA, M.D. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	1
Total participants	2009-01-01	2
Number of participants with account balances	2009-01-01	2

Financial Data on RONALD M. SANDA, M.D. PROFIT SHARING PLAN

Measure	Date	Value
2016 : RONALD M. SANDA, M.D. PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$91,294
Total plan assets at end of year	2016-12-31	$930,041
Total plan assets at beginning of year	2016-12-31	$838,747
Other income received	2016-12-31	$55,755
Net income (gross income less expenses)	2016-12-31	$91,294
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$930,041
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$838,747
Total contributions received or receivable from employer(s)	2016-12-31	$35,539
2015 : RONALD M. SANDA, M.D. PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$-1,676
Expenses. Total of all expenses incurred	2015-12-31	$37,949
Benefits paid (including direct rollovers)	2015-12-31	$20,929
Total plan assets at end of year	2015-12-31	$843,841
Total plan assets at beginning of year	2015-12-31	$883,466
Other income received	2015-12-31	$-36,583
Net income (gross income less expenses)	2015-12-31	$-39,625
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$843,841
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$883,466
Total contributions received or receivable from employer(s)	2015-12-31	$34,907
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$17,020
2014 : RONALD M. SANDA, M.D. PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$123,628
Expenses. Total of all expenses incurred	2014-12-31	$15,581
Total plan assets at end of year	2014-12-31	$883,466
Total plan assets at beginning of year	2014-12-31	$775,419
Other income received	2014-12-31	$89,486
Net income (gross income less expenses)	2014-12-31	$108,047
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$883,466
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$775,419
Total contributions received or receivable from employer(s)	2014-12-31	$34,142
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$15,581
2013 : RONALD M. SANDA, M.D. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$223,366
Expenses. Total of all expenses incurred	2013-12-31	$12,201
Total plan assets at end of year	2013-12-31	$775,419
Total plan assets at beginning of year	2013-12-31	$564,254
Other income received	2013-12-31	$178,970
Net income (gross income less expenses)	2013-12-31	$211,165
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$775,419
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$564,254
Total contributions received or receivable from employer(s)	2013-12-31	$44,396
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$12,201
2012 : RONALD M. SANDA, M.D. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$84,760
Expenses. Total of all expenses incurred	2012-12-31	$10,342
Total plan assets at end of year	2012-12-31	$564,254
Total plan assets at beginning of year	2012-12-31	$489,836
Other income received	2012-12-31	$52,166
Net income (gross income less expenses)	2012-12-31	$74,418
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$564,254
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$489,836
Total contributions received or receivable from employer(s)	2012-12-31	$32,594
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$10,342
2011 : RONALD M. SANDA, M.D. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$43,470
Expenses. Total of all expenses incurred	2011-12-31	$9,040
Total plan assets at end of year	2011-12-31	$489,836
Total plan assets at beginning of year	2011-12-31	$455,406
Other income received	2011-12-31	$10,358
Net income (gross income less expenses)	2011-12-31	$34,430
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$489,836
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$455,406
Total contributions received or receivable from employer(s)	2011-12-31	$33,112
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$9,040
2010 : RONALD M. SANDA, M.D. PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$73,811
Expenses. Total of all expenses incurred	2010-12-31	$8,213
Benefits paid (including direct rollovers)	2010-12-31	$1,788
Total plan assets at end of year	2010-12-31	$455,406
Total plan assets at beginning of year	2010-12-31	$389,808
Other income received	2010-12-31	$44,728
Net income (gross income less expenses)	2010-12-31	$65,598
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$455,406
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$389,808
Total contributions received or receivable from employer(s)	2010-12-31	$29,083
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$6,425

Form 5500 Responses for RONALD M. SANDA, M.D. PROFIT SHARING PLAN

2016: RONALD M. SANDA, M.D. PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: RONALD M. SANDA, M.D. 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: RONALD M. SANDA, M.D. 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: RONALD M. SANDA, M.D. 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: RONALD M. SANDA, M.D. 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: RONALD M. SANDA, M.D. 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
2009: RONALD M. SANDA, M.D. 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:	RONALD M. SANDA, M.D.
Employer identification number (EIN):	382542322
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)