401k Plan data: STEVEN A. LEDTKE M.D. EMPLOYEES PROFIT SHARING TRU plan

STEVEN A. LEDTKE M.D. EMPLOYEES PROFIT SHARING TRU 401k Plan overview

Plan Name	STEVEN A. LEDTKE M.D. EMPLOYEES PROFIT SHARING TRU
Plan identification number	002

STEVEN A. LEDTKE M.D. EMPLOYEES PROFIT SHARING TRU Benefits

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

401k Sponsoring company profile

STEVEN A. LEDTKE, M.D. has sponsored the creation of one or more 401k plans.

Company Name: STEVEN A. LEDTKE, M.D.

Employer identification number (EIN): 382594839

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STEVEN A. LEDTKE M.D. EMPLOYEES PROFIT SHARING TRU

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2010-01-01 STEVEN LEDTKE STEVEN LEDTKE 2011-07-27
002 2009-01-01 STEVEN LEDTKE STEVEN LEDTKE 2010-06-29

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2010-01-01	STEVEN LEDTKE		STEVEN LEDTKE	2011-07-27
002	2009-01-01	STEVEN LEDTKE		STEVEN LEDTKE	2010-06-29

Plan Statistics for STEVEN A. LEDTKE M.D. EMPLOYEES PROFIT SHARING TRU

401k plan membership statisitcs for STEVEN A. LEDTKE M.D. EMPLOYEES PROFIT SHARING TRU

Measure Date Value
2010: STEVEN A. LEDTKE M.D. EMPLOYEES PROFIT SHARING TRU 2010 401k membership
Total participants, beginning-of-year 2010-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 0
Number of retired or separated participants receiving benefits 2010-01-01 5
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 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 5
Number of participants with account balances 2010-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: STEVEN A. LEDTKE M.D. EMPLOYEES PROFIT SHARING TRU 2009 401k membership
Total participants, beginning-of-year 2009-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 6
Number of retired or separated participants receiving benefits 2009-01-01 1
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 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 7
Number of participants with account balances 2009-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2010: STEVEN A. LEDTKE M.D. EMPLOYEES PROFIT SHARING TRU 2010 401k membership
Total participants, beginning-of-year	2010-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	0
Number of retired or separated participants receiving benefits	2010-01-01	5
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	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	5
Number of participants with account balances	2010-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: STEVEN A. LEDTKE M.D. EMPLOYEES PROFIT SHARING TRU 2009 401k membership
Total participants, beginning-of-year	2009-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	6
Number of retired or separated participants receiving benefits	2009-01-01	1
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	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	7
Number of participants with account balances	2009-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on STEVEN A. LEDTKE M.D. EMPLOYEES PROFIT SHARING TRU

Measure	Date	Value
2010 : STEVEN A. LEDTKE M.D. EMPLOYEES PROFIT SHARING TRU 2010 401k financial data
Total income from all sources	2010-12-31	$6,035
Expenses. Total of all expenses incurred	2010-12-31	$479,996
Benefits paid (including direct rollovers)	2010-12-31	$479,996
Total plan assets at end of year	2010-12-31	$0
Total plan assets at beginning of year	2010-12-31	$473,961
Other income received	2010-12-31	$6,035
Net income (gross income less expenses)	2010-12-31	$-473,961
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$473,961

Form 5500 Responses for STEVEN A. LEDTKE M.D. EMPLOYEES PROFIT SHARING TRU

2010: STEVEN A. LEDTKE M.D. EMPLOYEES PROFIT SHARING TRU 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: STEVEN A. LEDTKE M.D. EMPLOYEES PROFIT SHARING TRU 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:	STEVEN A. LEDTKE, M.D.
Employer identification number (EIN):	382594839
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)