401k Plan data: JAMES W. MELISI, MD PLLC 401(K) PROFIT SHARING PLAN plan

JAMES W. MELISI, MD PLLC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	JAMES W. MELISI, MD PLLC 401(K) PROFIT SHARING PLAN
Plan identification number	001

JAMES W. MELISI, MD PLLC 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
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

JAMES W. MELISI, M.D., FACS, PLLC has sponsored the creation of one or more 401k plans.

Company Name: JAMES W. MELISI, M.D., FACS, PLLC

Employer identification number (EIN): 541956014

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JAMES W. MELISI, MD PLLC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2011-01-01 NANA WATERS 2012-07-31
001 2010-01-01 NANA WATERS 2011-10-12

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2011-01-01	NANA WATERS	2012-07-31
001	2010-01-01	NANA WATERS	2011-10-12

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Company Name:	JAMES W. MELISI, M.D., FACS, PLLC
Employer identification number (EIN):	541956014
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)