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| Plan Name | GEORGE B. PATRICK, III, M.D., P.A. MONEY PURCHASE PENSION PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | DR. GEORGE B. PATRICK, III, MD. PA |
| Employer identification number (EIN): | 520936488 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2011-01-01 | DR. GEORGE PATRICK, III | |||
| 001 | 2009-01-01 | DR. GEORGE PATRICK, III |
| Measure | Date | Value |
|---|---|---|
| 2011: GEORGE B. PATRICK, III, M.D., P.A. MONEY PURCHASE PENSION PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-01-01 | 3 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 0 |
| Total of all active and inactive participants | 2011-01-01 | 0 |
| Total participants | 2011-01-01 | 0 |
| Number of participants with account balances | 2011-01-01 | 0 |
| 2009: GEORGE B. PATRICK, III, M.D., P.A. MONEY PURCHASE PENSION PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 3 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 3 |
| Total of all active and inactive participants | 2009-01-01 | 3 |
| Total participants | 2009-01-01 | 3 |
| Number of participants with account balances | 2009-01-01 | 3 |
| Measure | Date | Value |
|---|---|---|
| 2011 : GEORGE B. PATRICK, III, M.D., P.A. MONEY PURCHASE PENSION PLAN 2011 401k financial data | ||
| Total income from all sources | 2011-10-31 | $100,155 |
| Expenses. Total of all expenses incurred | 2011-10-31 | $3,016,109 |
| Benefits paid (including direct rollovers) | 2011-10-31 | $3,016,109 |
| Total plan assets at end of year | 2011-10-31 | $0 |
| Total plan assets at beginning of year | 2011-10-31 | $2,915,954 |
| Value of fidelity bond covering the plan | 2011-10-31 | $350,000 |
| Other income received | 2011-10-31 | $100,155 |
| Net income (gross income less expenses) | 2011-10-31 | $-2,915,954 |
| Net plan assets at end of year (total assets less liabilities) | 2011-10-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-10-31 | $2,915,954 |
| Funding deficiency by the employer to the plan for this plan year | 2011-10-31 | $0 |
| Minimum employer required contribution for this plan year | 2011-10-31 | $0 |
| Amount contributed by the employer to the plan for this plan year | 2011-10-31 | $0 |
| 2009 : GEORGE B. PATRICK, III, M.D., P.A. MONEY PURCHASE PENSION PLAN 2009 401k financial data | ||
| Funding deficiency by the employer to the plan for this plan year | 2009-12-31 | $0 |
| Minimum employer required contribution for this plan year | 2009-12-31 | $29,868 |
| Amount contributed by the employer to the plan for this plan year | 2009-12-31 | $29,868 |
| 2011: GEORGE B. PATRICK, III, M.D., P.A. MONEY PURCHASE PENSION PLAN 2011 form 5500 responses | ||
|---|---|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | This submission is the final filing | Yes |
| 2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2011-01-01 | Plan funding arrangement – Trust | Yes |
| 2011-01-01 | Plan benefit arrangement - Trust | Yes |
| 2009: GEORGE B. PATRICK, III, M.D., P.A. MONEY PURCHASE PENSION PLAN 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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