401k Plan data: ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN plan

ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN 401k Plan overview

Plan Name	ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN
Plan identification number	001

ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
Plan covering Self-Employed individuals.
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.

401k Sponsoring company profile

ROBERT C. URBANIC, M.D. has sponsored the creation of one or more 401k plans.

Company Name: ROBERT C. URBANIC, M.D.

Employer identification number (EIN): 382894624

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01
001 2013-01-01
001 2012-01-01 ROBERT C URBANIC MD ROBERT C URBANIC MD 2013-08-19
001 2011-01-01 ROBERT C URBANIC MD ROBERT C URBANIC MD 2012-03-26
001 2009-01-01 ROBERT C. URBANIC ROBERT C. URBANIC 2010-07-09

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2014-01-01
001	2013-01-01
001	2012-01-01	ROBERT C URBANIC MD	ROBERT C URBANIC MD	2013-08-19
001	2011-01-01	ROBERT C URBANIC MD	ROBERT C URBANIC MD	2012-03-26
001	2009-01-01	ROBERT C. URBANIC	ROBERT C. URBANIC	2010-07-09

Plan Statistics for ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN

401k plan membership statisitcs for ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN

Measure Date Value
2014: ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: ROBERT C. URBANIC, M.D. EMPLOYEES' 401K 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 2
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 2
Total of all active and inactive participants 2013-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 4
Number of participants with account balances 2013-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 4
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: ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 3
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 1
Total of all active and inactive participants 2011-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 4
Number of participants with account balances 2011-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 5
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 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 5
Number of participants with account balances 2009-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2014: ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: ROBERT C. URBANIC, M.D. EMPLOYEES' 401K 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	2
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	2
Total of all active and inactive participants	2013-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	4
Number of participants with account balances	2013-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	4
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: ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	3
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	1
Total of all active and inactive participants	2011-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	4
Number of participants with account balances	2011-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	5
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	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	5
Number of participants with account balances	2009-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN

Measure	Date	Value
2014 : ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$35,678
Expenses. Total of all expenses incurred	2014-12-31	$727,972
Benefits paid (including direct rollovers)	2014-12-31	$723,421
Total plan assets at end of year	2014-12-31	$0
Total plan assets at beginning of year	2014-12-31	$692,294
Value of fidelity bond covering the plan	2014-12-31	$65,000
Total contributions received or receivable from participants	2014-12-31	$0
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$35,678
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$-692,294
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$692,294
Total contributions received or receivable from employer(s)	2014-12-31	$0
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$4,551
2013 : ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$64,016
Expenses. Total of all expenses incurred	2013-12-31	$5,173
Benefits paid (including direct rollovers)	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$692,294
Total plan assets at beginning of year	2013-12-31	$633,451
Value of fidelity bond covering the plan	2013-12-31	$65,000
Total contributions received or receivable from participants	2013-12-31	$875
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$58,893
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$58,843
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$692,294
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$633,451
Total contributions received or receivable from employer(s)	2013-12-31	$4,248
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$5,173
2012 : ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$67,133
Expenses. Total of all expenses incurred	2012-12-31	$12,886
Benefits paid (including direct rollovers)	2012-12-31	$8,083
Total plan assets at end of year	2012-12-31	$633,451
Total plan assets at beginning of year	2012-12-31	$579,204
Value of fidelity bond covering the plan	2012-12-31	$65,000
Total contributions received or receivable from participants	2012-12-31	$7,510
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$55,125
Net income (gross income less expenses)	2012-12-31	$54,247
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$633,451
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$579,204
Total contributions received or receivable from employer(s)	2012-12-31	$4,498
Value of certain deemed distributions of participant loans	2012-12-31	$4,803
2011 : ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$7,553
Expenses. Total of all expenses incurred	2011-12-31	$11,220
Benefits paid (including direct rollovers)	2011-12-31	$6,562
Total plan assets at end of year	2011-12-31	$579,204
Total plan assets at beginning of year	2011-12-31	$582,871
Value of fidelity bond covering the plan	2011-12-31	$65,000
Total contributions received or receivable from participants	2011-12-31	$776
Other income received	2011-12-31	$1,783
Net income (gross income less expenses)	2011-12-31	$-3,667
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$579,204
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$582,871
Total contributions received or receivable from employer(s)	2011-12-31	$4,994
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$4,658
2010 : ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$79,319
Expenses. Total of all expenses incurred	2010-12-31	$54,923
Benefits paid (including direct rollovers)	2010-12-31	$50,678
Total plan assets at end of year	2010-12-31	$582,871
Total plan assets at beginning of year	2010-12-31	$558,475
Value of fidelity bond covering the plan	2010-12-31	$60,000
Total contributions received or receivable from participants	2010-12-31	$12,996
Other income received	2010-12-31	$61,216
Net income (gross income less expenses)	2010-12-31	$24,396
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$582,871
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$558,475
Total contributions received or receivable from employer(s)	2010-12-31	$5,107
Value of corrective distributions	2010-12-31	$4,245

Form 5500 Responses for ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN

2014: ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN 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: ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN 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: ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN 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
2009: ROBERT C. URBANIC, M.D. EMPLOYEES' 401K PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
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

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Company Name:	ROBERT C. URBANIC, M.D.
Employer identification number (EIN):	382894624
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)