401k Plan data: JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN plan

JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN 401k Plan overview

Plan Name	JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN
Plan identification number	001

JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing Plan covering Self-Employed individuals. Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

JOHN T. EVELIUS, M.D. has sponsored the creation of one or more 401k plans.

Company Name: JOHN T. EVELIUS, M.D.

Employer identification number (EIN): 521523958

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 JOHN T. EVELIUS
001 2016-01-01 JOHN T. EVELIUS
001 2015-01-01 JOHN T. EVELIUS
001 2014-01-01 JOHN T. EVELIUS
001 2013-01-01 JOHN T. EVELIUS
001 2012-01-01 JOHN T. EVELIUS
001 2011-01-01 JOHN T. EVELIUS
001 2009-01-01 JOHN T. EVELIUS

Plan id#	Filing Submission Date	Name of Administrator
001	2017-01-01	JOHN T. EVELIUS
001	2016-01-01	JOHN T. EVELIUS
001	2015-01-01	JOHN T. EVELIUS
001	2014-01-01	JOHN T. EVELIUS
001	2013-01-01	JOHN T. EVELIUS
001	2012-01-01	JOHN T. EVELIUS
001	2011-01-01	JOHN T. EVELIUS
001	2009-01-01	JOHN T. EVELIUS

Plan Statistics for JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN

401k plan membership statisitcs for JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN

Measure Date Value
2017: JOHN T. EVELIUS, 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 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: JOHN T. EVELIUS, 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: JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 2
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: JOHN T. EVELIUS, 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 2
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 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 2
Number of participants with account balances 2014-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: JOHN T. EVELIUS, 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 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 0
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
2012: JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2
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 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 2
Number of participants with account balances 2012-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2
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 0
Total of all active and inactive participants 2011-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 2
Number of participants with account balances 2011-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2
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 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 2
Number of participants with account balances 2009-01-01 2

Measure	Date	Value
2017: JOHN T. EVELIUS, 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	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: JOHN T. EVELIUS, 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: JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	2
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: JOHN T. EVELIUS, 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	2
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	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	2
Number of participants with account balances	2014-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: JOHN T. EVELIUS, 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	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	0
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
2012: JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2
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	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	2
Number of participants with account balances	2012-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2
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	0
Total of all active and inactive participants	2011-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	2
Number of participants with account balances	2011-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2
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	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	2
Number of participants with account balances	2009-01-01	2

Financial Data on JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN

Measure	Date	Value
2017 : JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN 2017 401k financial data
Transfers to/from the plan	2017-12-31	$-777,288
Total income from all sources	2017-12-31	$92,107
Expenses. Total of all expenses incurred	2017-12-31	$4,203
Total plan assets at end of year	2017-12-31	$0
Total plan assets at beginning of year	2017-12-31	$689,384
Value of fidelity bond covering the plan	2017-12-31	$75,000
Other income received	2017-12-31	$92,107
Net income (gross income less expenses)	2017-12-31	$87,904
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$689,384
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$4,203
2016 : JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$40,529
Expenses. Total of all expenses incurred	2016-12-31	$6,402
Total plan assets at end of year	2016-12-31	$689,384
Total plan assets at beginning of year	2016-12-31	$655,257
Value of fidelity bond covering the plan	2016-12-31	$75,000
Other income received	2016-12-31	$20,529
Net income (gross income less expenses)	2016-12-31	$34,127
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$689,384
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$655,257
Total contributions received or receivable from employer(s)	2016-12-31	$20,000
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$6,402
2015 : JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$10,237
Expenses. Total of all expenses incurred	2015-12-31	$5,953
Total plan assets at end of year	2015-12-31	$655,257
Total plan assets at beginning of year	2015-12-31	$650,973
Value of fidelity bond covering the plan	2015-12-31	$75,000
Other income received	2015-12-31	$-13,763
Net income (gross income less expenses)	2015-12-31	$4,284
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$655,257
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$650,973
Total contributions received or receivable from employer(s)	2015-12-31	$24,000
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$5,953
2014 : JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$64,988
Expenses. Total of all expenses incurred	2014-12-31	$5,551
Total plan assets at end of year	2014-12-31	$650,973
Total plan assets at beginning of year	2014-12-31	$591,536
Value of fidelity bond covering the plan	2014-12-31	$75,000
Other income received	2014-12-31	$31,315
Net income (gross income less expenses)	2014-12-31	$59,437
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$650,973
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$591,536
Total contributions received or receivable from employer(s)	2014-12-31	$33,673
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$5,551
2013 : JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$84,821
Expenses. Total of all expenses incurred	2013-12-31	$4,926
Total plan assets at end of year	2013-12-31	$591,536
Total plan assets at beginning of year	2013-12-31	$511,641
Value of fidelity bond covering the plan	2013-12-31	$75,000
Other income received	2013-12-31	$56,306
Net income (gross income less expenses)	2013-12-31	$79,895
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$591,536
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$511,641
Total contributions received or receivable from employer(s)	2013-12-31	$28,515
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$4,926
2012 : JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$75,799
Expenses. Total of all expenses incurred	2012-12-31	$4,688
Total plan assets at end of year	2012-12-31	$511,641
Total plan assets at beginning of year	2012-12-31	$440,530
Value of fidelity bond covering the plan	2012-12-31	$75,000
Other income received	2012-12-31	$41,262
Net income (gross income less expenses)	2012-12-31	$71,111
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$511,641
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$440,530
Total contributions received or receivable from employer(s)	2012-12-31	$34,537
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$4,688
2011 : JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$19,567
Expenses. Total of all expenses incurred	2011-12-31	$4,338
Total plan assets at end of year	2011-12-31	$440,530
Total plan assets at beginning of year	2011-12-31	$425,301
Value of fidelity bond covering the plan	2011-12-31	$50,000
Contributions received from other sources (not participants or employers)	2011-12-31	$7,949
Other income received	2011-12-31	$-14,672
Net income (gross income less expenses)	2011-12-31	$15,229
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$440,530
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$425,301
Total contributions received or receivable from employer(s)	2011-12-31	$26,290
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$4,338
2010 : JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$59,651
Expenses. Total of all expenses incurred	2010-12-31	$4,003
Total plan assets at end of year	2010-12-31	$425,301
Total plan assets at beginning of year	2010-12-31	$369,653
Value of fidelity bond covering the plan	2010-12-31	$50,000
Other income received	2010-12-31	$27,979
Net income (gross income less expenses)	2010-12-31	$55,648
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$425,301
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$369,653
Total contributions received or receivable from employer(s)	2010-12-31	$31,672
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$4,003

Form 5500 Responses for JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN

2017: JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	This submission is the final filing	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: JOHN T. EVELIUS, M.D. PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	JOHN T. EVELIUS, M.D.
Employer identification number (EIN):	521523958
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)