401k Plan data: JOHN C. MALMBORG, M.D., P.C. PROFIT SHARING PLAN plan

JOHN C. MALMBORG, M.D., P.C. PROFIT SHARING PLAN 401k Plan overview

Plan Name	JOHN C. MALMBORG, M.D., P.C. PROFIT SHARING PLAN
Plan identification number	001

JOHN C. MALMBORG, M.D., P.C. PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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 MALMBORG,P C has sponsored the creation of one or more 401k plans.

Company Name: JOHN MALMBORG,P C

Employer identification number (EIN): 581626123

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 C. MALMBORG, M.D., P.C. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-07-01 JOHN C. MALMBORG, M.D. JOHN C. MALMBORG, M.D. 2013-10-16
001 2011-07-01 JOHN C. MALMBORG, M.D. JOHN C. MALMBORG, M.D. 2012-10-02
001 2009-07-01 JOHN C. MALMBORG, M.D. JOHN C. MALMBORG, M.D. 2011-01-29
001 2008-07-01 DEBRA YONZ

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2012-07-01	JOHN C. MALMBORG, M.D.	JOHN C. MALMBORG, M.D.	2013-10-16
001	2011-07-01	JOHN C. MALMBORG, M.D.	JOHN C. MALMBORG, M.D.	2012-10-02
001	2009-07-01	JOHN C. MALMBORG, M.D.	JOHN C. MALMBORG, M.D.	2011-01-29
001	2008-07-01	DEBRA YONZ

Plan Statistics for JOHN C. MALMBORG, M.D., P.C. PROFIT SHARING PLAN

401k plan membership statisitcs for JOHN C. MALMBORG, M.D., P.C. PROFIT SHARING PLAN

Measure Date Value
2012: JOHN C. MALMBORG, M.D., P.C. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 7
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 0
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 0
Total of all active and inactive participants 2012-07-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 0
Number of participants with account balances 2012-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 0
2011: JOHN C. MALMBORG, M.D., P.C. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 7
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 5
Number of retired or separated participants receiving benefits 2011-07-01 2
Number of other retired or separated participants entitled to future benefits 2011-07-01 0
Total of all active and inactive participants 2011-07-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 7
Number of participants with account balances 2011-07-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 0
2009: JOHN C. MALMBORG, M.D., P.C. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 7
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 5
Number of retired or separated participants receiving benefits 2009-07-01 2
Number of other retired or separated participants entitled to future benefits 2009-07-01 0
Total of all active and inactive participants 2009-07-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 7
Number of participants with account balances 2009-07-01 7
2008: JOHN C. MALMBORG, M.D., P.C. PROFIT SHARING PLAN 2008 401k membership
Total participants, beginning-of-year 2008-07-01 7
Total number of active participants reported on line 7a of the Form 5500 2008-07-01 5
Number of retired or separated participants receiving benefits 2008-07-01 2
Total of all active and inactive participants 2008-07-01 7
Total participants 2008-07-01 7
Number of participants with account balances 2008-07-01 7

Measure	Date	Value
2012: JOHN C. MALMBORG, M.D., P.C. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	7
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	0
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	0
Total of all active and inactive participants	2012-07-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	0
Number of participants with account balances	2012-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	0
2011: JOHN C. MALMBORG, M.D., P.C. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	7
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	5
Number of retired or separated participants receiving benefits	2011-07-01	2
Number of other retired or separated participants entitled to future benefits	2011-07-01	0
Total of all active and inactive participants	2011-07-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	7
Number of participants with account balances	2011-07-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	0
2009: JOHN C. MALMBORG, M.D., P.C. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	7
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	5
Number of retired or separated participants receiving benefits	2009-07-01	2
Number of other retired or separated participants entitled to future benefits	2009-07-01	0
Total of all active and inactive participants	2009-07-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	7
Number of participants with account balances	2009-07-01	7
2008: JOHN C. MALMBORG, M.D., P.C. PROFIT SHARING PLAN 2008 401k membership
Total participants, beginning-of-year	2008-07-01	7
Total number of active participants reported on line 7a of the Form 5500	2008-07-01	5
Number of retired or separated participants receiving benefits	2008-07-01	2
Total of all active and inactive participants	2008-07-01	7
Total participants	2008-07-01	7
Number of participants with account balances	2008-07-01	7

Financial Data on JOHN C. MALMBORG, M.D., P.C. PROFIT SHARING PLAN

Measure	Date	Value
2013 : JOHN C. MALMBORG, M.D., P.C. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-06-30	$57,555
Expenses. Total of all expenses incurred	2013-06-30	$941,064
Benefits paid (including direct rollovers)	2013-06-30	$929,939
Total plan assets at end of year	2013-06-30	$0
Total plan assets at beginning of year	2013-06-30	$883,509
Other income received	2013-06-30	$57,555
Net income (gross income less expenses)	2013-06-30	$-883,509
Net plan assets at end of year (total assets less liabilities)	2013-06-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-06-30	$883,509
Expenses. Administrative service providers (salaries,fees and commissions)	2013-06-30	$11,125
2012 : JOHN C. MALMBORG, M.D., P.C. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-06-30	$-50,559
Expenses. Total of all expenses incurred	2012-06-30	$11,204
Total plan assets at end of year	2012-06-30	$883,509
Total plan assets at beginning of year	2012-06-30	$945,272
Other income received	2012-06-30	$-50,559
Net income (gross income less expenses)	2012-06-30	$-61,763
Net plan assets at end of year (total assets less liabilities)	2012-06-30	$883,509
Net plan assets at beginning of year (total assets less liabilities)	2012-06-30	$945,272
Expenses. Administrative service providers (salaries,fees and commissions)	2012-06-30	$11,204
2011 : JOHN C. MALMBORG, M.D., P.C. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-06-30	$171,404
Expenses. Total of all expenses incurred	2011-06-30	$10,755
Total plan assets at end of year	2011-06-30	$945,272
Total plan assets at beginning of year	2011-06-30	$784,623
Expenses. Other expenses not covered elsewhere	2011-06-30	$972
Other income received	2011-06-30	$171,404
Net income (gross income less expenses)	2011-06-30	$160,649
Net plan assets at end of year (total assets less liabilities)	2011-06-30	$945,272
Net plan assets at beginning of year (total assets less liabilities)	2011-06-30	$784,623
Expenses. Administrative service providers (salaries,fees and commissions)	2011-06-30	$9,783
2009 : JOHN C. MALMBORG, M.D., P.C. PROFIT SHARING PLAN 2009 401k financial data
Total income from all sources	2009-06-30	$-260,501
Expenses. Total of all expenses incurred	2009-06-30	$9,975
Total plan assets at end of year	2009-06-30	$712,337
Total plan assets at beginning of year	2009-06-30	$982,813
Expenses. Other expenses not covered elsewhere	2009-06-30	$803
Other income received	2009-06-30	$-260,501
Net income (gross income less expenses)	2009-06-30	$-270,476
Net plan assets at end of year (total assets less liabilities)	2009-06-30	$712,337
Net plan assets at beginning of year (total assets less liabilities)	2009-06-30	$982,813
Expenses. Administrative service providers (salaries,fees and commissions)	2009-06-30	$9,172
2008 : JOHN C. MALMBORG, M.D., P.C. PROFIT SHARING PLAN 2008 401k financial data
Total income from all sources	2008-06-30	$19,801
Expenses. Total of all expenses incurred	2008-06-30	$11,972
Total plan assets at end of year	2008-06-30	$982,813
Total plan assets at beginning of year	2008-06-30	$974,984
Expenses. Other expenses not covered elsewhere	2008-06-30	$1,409
Other income received	2008-06-30	$19,801
Net income (gross income less expenses)	2008-06-30	$7,829
Net plan assets at end of year (total assets less liabilities)	2008-06-30	$982,813
Net plan assets at beginning of year (total assets less liabilities)	2008-06-30	$974,984
Expenses. Administrative service providers (salaries,fees and commissions)	2008-06-30	$10,563

Form 5500 Responses for JOHN C. MALMBORG, M.D., P.C. PROFIT SHARING PLAN

2012: JOHN C. MALMBORG, M.D., P.C. PROFIT SHARING PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	This submission is the final filing	Yes
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: JOHN C. MALMBORG, M.D., P.C. PROFIT SHARING PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2009: JOHN C. MALMBORG, M.D., P.C. PROFIT SHARING PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes
2008: JOHN C. MALMBORG, M.D., P.C. PROFIT SHARING PLAN 2008 form 5500 responses
2008-07-01	Type of plan entity	Single employer plan
2008-07-01	Submission has been amended	No
2008-07-01	This submission is the final filing	No
2008-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-07-01	Plan is a collectively bargained plan	No
2008-07-01	Plan funding arrangement – Trust	Yes
2008-07-01	Plan benefit arrangement - Trust	Yes

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Company Name:	JOHN MALMBORG,P C
Employer identification number (EIN):	581626123
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)