401k Plan data: MIRIAM M. LARA, M.D. PROFIT SHARING PLAN plan

MIRIAM M. LARA, M.D. PROFIT SHARING PLAN 401k Plan overview

Plan Name	MIRIAM M. LARA, M.D. PROFIT SHARING PLAN
Plan identification number	001

MIRIAM M. LARA, M.D. PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

MIRIAM M. LARA, M.D., P.A. has sponsored the creation of one or more 401k plans.

Company Name: MIRIAM M. LARA, M.D., P.A.

Employer identification number (EIN): 454045465

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MIRIAM M. LARA, M.D. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-01-01
001 2017-01-01 MIRIAM M. LARA, M.D. MIRIAM M. LARA, M.D. 2018-10-01
001 2016-01-01 MIRIAM M. LARA, M.D.
001 2015-01-01 MIRIAM M. LARA, M.D.
001 2014-01-01 MIRIAM M. LARA, M.D.
001 2013-01-01

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2018-01-01
001	2017-01-01	MIRIAM M. LARA, M.D.	MIRIAM M. LARA, M.D.	2018-10-01
001	2016-01-01	MIRIAM M. LARA, M.D.
001	2015-01-01	MIRIAM M. LARA, M.D.
001	2014-01-01	MIRIAM M. LARA, M.D.
001	2013-01-01

Plan Statistics for MIRIAM M. LARA, M.D. PROFIT SHARING PLAN

401k plan membership statisitcs for MIRIAM M. LARA, M.D. PROFIT SHARING PLAN

Measure Date Value
2017: MIRIAM M. LARA, M.D. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 2
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 2
Number of participants with account balances 2017-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: MIRIAM M. LARA, M.D. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 2
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 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 2
Number of participants with account balances 2016-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: MIRIAM M. LARA, M.D. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1
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 0
Total of all active and inactive participants 2015-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 2
Number of participants with account balances 2015-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: MIRIAM M. LARA, M.D. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 1
Number of participants with account balances 2014-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: MIRIAM M. LARA, M.D. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1
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 1
Total of all active and inactive participants 2013-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 2
Number of participants with account balances 2013-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0

Measure	Date	Value
2017: MIRIAM M. LARA, M.D. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	2
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	2
Number of participants with account balances	2017-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: MIRIAM M. LARA, M.D. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	2
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	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	2
Number of participants with account balances	2016-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: MIRIAM M. LARA, M.D. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1
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	0
Total of all active and inactive participants	2015-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	2
Number of participants with account balances	2015-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: MIRIAM M. LARA, M.D. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	1
Number of participants with account balances	2014-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: MIRIAM M. LARA, M.D. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1
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	1
Total of all active and inactive participants	2013-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	2
Number of participants with account balances	2013-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0

Financial Data on MIRIAM M. LARA, M.D. PROFIT SHARING PLAN

Measure	Date	Value
2017 : MIRIAM M. LARA, M.D. PROFIT SHARING PLAN 2017 401k financial data
Transfers to/from the plan	2017-12-31	$0
Total plan liabilities at end of year	2017-12-31	$0
Total plan liabilities at beginning of year	2017-12-31	$0
Total income from all sources	2017-12-31	$139,000
Expenses. Total of all expenses incurred	2017-12-31	$24,162
Benefits paid (including direct rollovers)	2017-12-31	$0
Total plan assets at end of year	2017-12-31	$541,623
Total plan assets at beginning of year	2017-12-31	$426,785
Value of fidelity bond covering the plan	2017-12-31	$50,000
Total contributions received or receivable from participants	2017-12-31	$0
Expenses. Other expenses not covered elsewhere	2017-12-31	$908
Contributions received from other sources (not participants or employers)	2017-12-31	$0
Other income received	2017-12-31	$122,375
Noncash contributions received	2017-12-31	$0
Net income (gross income less expenses)	2017-12-31	$114,838
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$541,623
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$426,785
Assets. Value of real-estate (other than employer real property)	2017-12-31	$0
Total contributions received or receivable from employer(s)	2017-12-31	$16,625
Value of certain deemed distributions of participant loans	2017-12-31	$0
Value of corrective distributions	2017-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$23,254
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : MIRIAM M. LARA, M.D. PROFIT SHARING PLAN 2016 401k financial data
Total plan liabilities at end of year	2016-12-31	$0
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$-33,413
Expenses. Total of all expenses incurred	2016-12-31	$13,406
Benefits paid (including direct rollovers)	2016-12-31	$0
Total plan assets at end of year	2016-12-31	$426,785
Total plan assets at beginning of year	2016-12-31	$473,604
Value of fidelity bond covering the plan	2016-12-31	$50,000
Total contributions received or receivable from participants	2016-12-31	$0
Expenses. Other expenses not covered elsewhere	2016-12-31	$9,116
Contributions received from other sources (not participants or employers)	2016-12-31	$0
Other income received	2016-12-31	$-47,163
Noncash contributions received	2016-12-31	$0
Net income (gross income less expenses)	2016-12-31	$-46,819
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$426,785
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$473,604
Assets. Value of real-estate (other than employer real property)	2016-12-31	$173,250
Total contributions received or receivable from employer(s)	2016-12-31	$13,750
Value of certain deemed distributions of participant loans	2016-12-31	$0
Value of corrective distributions	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$4,290
2015 : MIRIAM M. LARA, M.D. PROFIT SHARING PLAN 2015 401k financial data
Transfers to/from the plan	2015-12-31	$0
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$7,460
Total income from all sources	2015-12-31	$15,419
Expenses. Total of all expenses incurred	2015-12-31	$12,020
Benefits paid (including direct rollovers)	2015-12-31	$0
Total plan assets at end of year	2015-12-31	$473,604
Total plan assets at beginning of year	2015-12-31	$477,665
Value of fidelity bond covering the plan	2015-12-31	$50,000
Total contributions received or receivable from participants	2015-12-31	$0
Assets. Value of loans (other than to participants)	2015-12-31	$0
Expenses. Other expenses not covered elsewhere	2015-12-31	$10,970
Contributions received from other sources (not participants or employers)	2015-12-31	$0
Other income received	2015-12-31	$4,169
Noncash contributions received	2015-12-31	$0
Net income (gross income less expenses)	2015-12-31	$3,399
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$473,604
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$470,205
Assets. Value of real-estate (other than employer real property)	2015-12-31	$220,532
Total contributions received or receivable from employer(s)	2015-12-31	$11,250
Value of certain deemed distributions of participant loans	2015-12-31	$0
Value of corrective distributions	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$1,050
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : MIRIAM M. LARA, M.D. PROFIT SHARING PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total plan liabilities at end of year	2014-12-31	$7,460
Total plan liabilities at beginning of year	2014-12-31	$410
Total income from all sources	2014-12-31	$38,320
Expenses. Total of all expenses incurred	2014-12-31	$19,073
Benefits paid (including direct rollovers)	2014-12-31	$6,076
Total plan assets at end of year	2014-12-31	$477,665
Total plan assets at beginning of year	2014-12-31	$451,368
Value of fidelity bond covering the plan	2014-12-31	$50,000
Total contributions received or receivable from participants	2014-12-31	$0
Assets. Value of loans (other than to participants)	2014-12-31	$67,086
Expenses. Other expenses not covered elsewhere	2014-12-31	$8,349
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$36,070
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$19,247
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$470,205
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$450,958
Assets. Value of real-estate (other than employer real property)	2014-12-31	$220,532
Total contributions received or receivable from employer(s)	2014-12-31	$2,250
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	$4,648
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : MIRIAM M. LARA, M.D. PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total plan liabilities at end of year	2013-12-31	$410
Total plan liabilities at beginning of year	2013-12-31	$3,410
Total income from all sources	2013-12-31	$34,885
Expenses. Total of all expenses incurred	2013-12-31	$4,459
Benefits paid (including direct rollovers)	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$451,368
Total plan assets at beginning of year	2013-12-31	$423,942
Total contributions received or receivable from participants	2013-12-31	$0
Assets. Value of loans (other than to participants)	2013-12-31	$71,636
Expenses. Other expenses not covered elsewhere	2013-12-31	$3,824
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$31,885
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$30,426
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$450,958
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$420,532
Assets. Value of real-estate (other than employer real property)	2013-12-31	$202,510
Total contributions received or receivable from employer(s)	2013-12-31	$3,000
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	$635
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0

Form 5500 Responses for MIRIAM M. LARA, M.D. PROFIT SHARING PLAN

2017: MIRIAM M. LARA, M.D. PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: MIRIAM M. LARA, M.D. PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: MIRIAM M. LARA, M.D. PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: MIRIAM M. LARA, M.D. 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	No
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: MIRIAM M. LARA, M.D. 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

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Company Name:	MIRIAM M. LARA, M.D., P.A.
Employer identification number (EIN):	454045465
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)