401k Plan data: THE HEART CLINIC, P.C. 401(K) PROFIT SHARING PLAN plan

THE HEART CLINIC, P.C. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	THE HEART CLINIC, P.C. 401(K) PROFIT SHARING PLAN
Plan identification number	001

THE HEART CLINIC, P.C. 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.
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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

THE HEART CLINIC, P.C. has sponsored the creation of one or more 401k plans.

Company Name: THE HEART CLINIC, P.C.

Employer identification number (EIN): 581267754

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE HEART CLINIC, P.C. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-01-01 MINA A. JACOB, MD MINA A. JACOB, MD 2013-07-25
001 2011-01-01 LORI LANGSTON LORI LANGSTON 2012-07-11
001 2009-01-01 ROBERT W. WARNER ROBERT W. WARNER 2010-09-17

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2012-01-01	MINA A. JACOB, MD	MINA A. JACOB, MD	2013-07-25
001	2011-01-01	LORI LANGSTON	LORI LANGSTON	2012-07-11
001	2009-01-01	ROBERT W. WARNER	ROBERT W. WARNER	2010-09-17

Plan Statistics for THE HEART CLINIC, P.C. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for THE HEART CLINIC, P.C. 401(K) PROFIT SHARING PLAN

Measure Date Value
2012: THE HEART CLINIC, P.C. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 43
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 0
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: THE HEART CLINIC, P.C. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 47
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 33
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 10
Total of all active and inactive participants 2011-01-01 43
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 43
Number of participants with account balances 2011-01-01 41
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 5
2009: THE HEART CLINIC, P.C. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 55
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 40
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 11
Total of all active and inactive participants 2009-01-01 51
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 51
Number of participants with account balances 2009-01-01 51
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 6

Measure	Date	Value
2012: THE HEART CLINIC, P.C. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	43
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	0
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: THE HEART CLINIC, P.C. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	47
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	33
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	10
Total of all active and inactive participants	2011-01-01	43
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	43
Number of participants with account balances	2011-01-01	41
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	5
2009: THE HEART CLINIC, P.C. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	55
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	40
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	11
Total of all active and inactive participants	2009-01-01	51
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	51
Number of participants with account balances	2009-01-01	51
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	6

Financial Data on THE HEART CLINIC, P.C. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2012 : THE HEART CLINIC, P.C. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$383,523
Expenses. Total of all expenses incurred	2012-12-31	$3,014,571
Benefits paid (including direct rollovers)	2012-12-31	$3,007,767
Total plan assets at end of year	2012-12-31	$0
Total plan assets at beginning of year	2012-12-31	$2,631,048
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$48,197
Other income received	2012-12-31	$288,756
Net income (gross income less expenses)	2012-12-31	$-2,631,048
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$2,631,048
Total contributions received or receivable from employer(s)	2012-12-31	$46,570
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$6,804
2011 : THE HEART CLINIC, P.C. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$8,671
Expenses. Total of all expenses incurred	2011-12-31	$1,928,802
Benefits paid (including direct rollovers)	2011-12-31	$1,927,728
Total plan assets at end of year	2011-12-31	$2,631,048
Total plan assets at beginning of year	2011-12-31	$4,551,179
Value of fidelity bond covering the plan	2011-12-31	$500,000
Total contributions received or receivable from participants	2011-12-31	$107,832
Contributions received from other sources (not participants or employers)	2011-12-31	$18,424
Other income received	2011-12-31	$-205,950
Net income (gross income less expenses)	2011-12-31	$-1,920,131
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$2,631,048
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$4,551,179
Assets. Value of participant loans	2011-12-31	$49,556
Total contributions received or receivable from employer(s)	2011-12-31	$88,365
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$1,074
2010 : THE HEART CLINIC, P.C. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$814,149
Expenses. Total of all expenses incurred	2010-12-31	$242,852
Benefits paid (including direct rollovers)	2010-12-31	$241,639
Total plan assets at end of year	2010-12-31	$4,551,179
Total plan assets at beginning of year	2010-12-31	$3,979,882
Value of fidelity bond covering the plan	2010-12-31	$500,000
Total contributions received or receivable from participants	2010-12-31	$125,014
Contributions received from other sources (not participants or employers)	2010-12-31	$18,555
Other income received	2010-12-31	$564,154
Net income (gross income less expenses)	2010-12-31	$571,297
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$4,551,179
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$3,979,882
Assets. Value of participant loans	2010-12-31	$67,551
Total contributions received or receivable from employer(s)	2010-12-31	$106,426
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$1,213

Form 5500 Responses for THE HEART CLINIC, P.C. 401(K) PROFIT SHARING PLAN

2012: THE HEART CLINIC, P.C. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	Yes
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: THE HEART CLINIC, P.C. 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: THE HEART CLINIC, P.C. 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	THE HEART CLINIC, P.C.
Employer identification number (EIN):	581267754
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)