401k Plan data: TIMOTHY E. HANSEN, D.O., P.A. 401(K) PROFIT SHARING PLAN plan

TIMOTHY E. HANSEN, D.O., P.A. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	TIMOTHY E. HANSEN, D.O., P.A. 401(K) PROFIT SHARING PLAN
Plan identification number	001

TIMOTHY E. HANSEN, D.O., P.A. 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
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.
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

TIMOTHY E. HANSEN, D.O., P.A. has sponsored the creation of one or more 401k plans.

Company Name: TIMOTHY E. HANSEN, D.O., P.A.

Employer identification number (EIN): 451737959

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TIMOTHY E. HANSEN, D.O., P.A. 401(K) 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 PATRICIA HANSEN 2016-06-28 PATRICIA HANSEN 2016-06-28
001 2015-01-01 PATRICIA HANSEN 2016-06-28 PATRICIA HANSEN 2016-06-28
001 2014-01-01 PATRICIA HANSEN 2015-04-30 PATRICIA HANSEN 2015-04-30
001 2013-01-01 PATRICIA HANSEN 2014-06-30 PATRICIA HANSEN 2014-06-30
001 2012-01-01 PATRICIA HANSEN 2013-07-19 PATRICIA HANSEN 2013-07-19
001 2011-01-01 PATRICIA HANSEN 2012-07-19 PATRICIA HANSEN 2012-07-19

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2016-01-01	PATRICIA HANSEN	2016-06-28	PATRICIA HANSEN	2016-06-28
001	2015-01-01	PATRICIA HANSEN	2016-06-28	PATRICIA HANSEN	2016-06-28
001	2014-01-01	PATRICIA HANSEN	2015-04-30	PATRICIA HANSEN	2015-04-30
001	2013-01-01	PATRICIA HANSEN	2014-06-30	PATRICIA HANSEN	2014-06-30
001	2012-01-01	PATRICIA HANSEN	2013-07-19	PATRICIA HANSEN	2013-07-19
001	2011-01-01	PATRICIA HANSEN	2012-07-19	PATRICIA HANSEN	2012-07-19

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Company Name:	TIMOTHY E. HANSEN, D.O., P.A.
Employer identification number (EIN):	451737959
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)