401k Plan data: HARRY M. ROSENBLUM MD, PA PROFIT SHARING PLAN plan

HARRY M. ROSENBLUM MD, PA PROFIT SHARING PLAN 401k Plan overview

Plan Name	HARRY M. ROSENBLUM MD, PA PROFIT SHARING PLAN
Plan identification number	001

HARRY M. ROSENBLUM MD, PA PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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

HARRY M. ROSENBLUM M.D., P.A. has sponsored the creation of one or more 401k plans.

Company Name: HARRY M. ROSENBLUM M.D., P.A.

Employer identification number (EIN): 592934811

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HARRY M. ROSENBLUM MD, PA PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 HARRY M. ROSENBLUM
001 2013-01-01
001 2012-01-01 HARRY M. ROSENBLUM
001 2011-01-01 HARRY M. ROSENBLUM
001 2009-01-01 HARRY M. ROSENBLUM

Plan Statistics for HARRY M. ROSENBLUM MD, PA PROFIT SHARING PLAN

401k plan membership statisitcs for HARRY M. ROSENBLUM MD, PA PROFIT SHARING PLAN

Measure Date Value
2014: HARRY M. ROSENBLUM MD, PA 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: HARRY M. ROSENBLUM MD, PA 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
Total of all active and inactive participants 2013-01-01 2
Total participants 2013-01-01 2
Number of participants with account balances 2013-01-01 2
2012: HARRY M. ROSENBLUM MD, PA 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
Total of all active and inactive participants 2012-01-01 2
Total participants 2012-01-01 2
Number of participants with account balances 2012-01-01 2
2011: HARRY M. ROSENBLUM MD, PA 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
Total of all active and inactive participants 2011-01-01 2
Total participants 2011-01-01 2
Number of participants with account balances 2011-01-01 2
2009: HARRY M. ROSENBLUM MD, PA 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
Total of all active and inactive participants 2009-01-01 2
Total participants 2009-01-01 2
Number of participants with account balances 2009-01-01 2

Measure	Date	Value
2014: HARRY M. ROSENBLUM MD, PA 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: HARRY M. ROSENBLUM MD, PA 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
Total of all active and inactive participants	2013-01-01	2
Total participants	2013-01-01	2
Number of participants with account balances	2013-01-01	2
2012: HARRY M. ROSENBLUM MD, PA 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
Total of all active and inactive participants	2012-01-01	2
Total participants	2012-01-01	2
Number of participants with account balances	2012-01-01	2
2011: HARRY M. ROSENBLUM MD, PA 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
Total of all active and inactive participants	2011-01-01	2
Total participants	2011-01-01	2
Number of participants with account balances	2011-01-01	2
2009: HARRY M. ROSENBLUM MD, PA 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
Total of all active and inactive participants	2009-01-01	2
Total participants	2009-01-01	2
Number of participants with account balances	2009-01-01	2

Financial Data on HARRY M. ROSENBLUM MD, PA PROFIT SHARING PLAN

Measure	Date	Value
2014 : HARRY M. ROSENBLUM MD, PA PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$39,024
Expenses. Total of all expenses incurred	2014-12-31	$2,247
Total plan assets at end of year	2014-12-31	$1,164,558
Total plan assets at beginning of year	2014-12-31	$1,127,781
Value of fidelity bond covering the plan	2014-12-31	$150,000
Other income received	2014-12-31	$39,024
Net income (gross income less expenses)	2014-12-31	$36,777
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,164,558
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,127,781
Assets. Value of participant loans	2014-12-31	$8,436
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$2,247
2013 : HARRY M. ROSENBLUM MD, PA PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$284,903
Expenses. Total of all expenses incurred	2013-12-31	$2,096
Total plan assets at end of year	2013-12-31	$1,127,781
Total plan assets at beginning of year	2013-12-31	$844,974
Value of fidelity bond covering the plan	2013-12-31	$150,000
Total contributions received or receivable from participants	2013-12-31	$23,000
Other income received	2013-12-31	$253,903
Net income (gross income less expenses)	2013-12-31	$282,807
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,127,781
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$844,974
Total contributions received or receivable from employer(s)	2013-12-31	$8,000
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$2,096
2012 : HARRY M. ROSENBLUM MD, PA PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$134,191
Expenses. Total of all expenses incurred	2012-12-31	$1,540
Total plan assets at end of year	2012-12-31	$844,974
Total plan assets at beginning of year	2012-12-31	$712,323
Other income received	2012-12-31	$127,185
Net income (gross income less expenses)	2012-12-31	$132,651
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$844,974
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$712,323
Total contributions received or receivable from employer(s)	2012-12-31	$7,006
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$1,540
2011 : HARRY M. ROSENBLUM MD, PA PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$-2,576
Expenses. Total of all expenses incurred	2011-12-31	$-17
Total plan assets at end of year	2011-12-31	$712,233
Total plan assets at beginning of year	2011-12-31	$714,883
Value of fidelity bond covering the plan	2011-12-31	$50,000
Other income received	2011-12-31	$-21,100
Net income (gross income less expenses)	2011-12-31	$-2,559
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$712,233
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$714,883
Total contributions received or receivable from employer(s)	2011-12-31	$18,524
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$-17
2010 : HARRY M. ROSENBLUM MD, PA PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$145,770
Expenses. Total of all expenses incurred	2010-12-31	$1,543
Total plan assets at end of year	2010-12-31	$714,883
Total plan assets at beginning of year	2010-12-31	$570,656
Value of fidelity bond covering the plan	2010-12-31	$50,000
Total contributions received or receivable from participants	2010-12-31	$20,000
Other income received	2010-12-31	$91,357
Net income (gross income less expenses)	2010-12-31	$144,227
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$714,883
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$570,656
Total contributions received or receivable from employer(s)	2010-12-31	$34,413
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$1,543

Form 5500 Responses for HARRY M. ROSENBLUM MD, PA PROFIT SHARING PLAN

2014: HARRY M. ROSENBLUM MD, PA 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: HARRY M. ROSENBLUM MD, PA 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: HARRY M. ROSENBLUM MD, PA 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: HARRY M. ROSENBLUM MD, PA 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: HARRY M. ROSENBLUM MD, PA PROFIT SHARING 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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Company Name:	HARRY M. ROSENBLUM M.D., P.A.
Employer identification number (EIN):	592934811
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Plan id#	Filing Submission Date	Name of Administrator
001	2014-01-01	HARRY M. ROSENBLUM
001	2013-01-01
001	2012-01-01	HARRY M. ROSENBLUM
001	2011-01-01	HARRY M. ROSENBLUM
001	2009-01-01	HARRY M. ROSENBLUM