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| Plan Name | KENT L. DAVIS, MD PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | KENT L. DAVIS, MD |
| Employer identification number (EIN): | 611030776 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2006-01-01 | KENT DAVIS | 2011-01-19 | KENT DAVIS | 2011-01-19 |
| Measure | Date | Value |
|---|---|---|
| 2006: KENT L. DAVIS, MD PROFIT SHARING PLAN 2006 401k membership | ||
| Total participants, beginning-of-year | 2006-01-01 | 4 |
| Total number of active participants reported on line 7a of the Form 5500 | 2006-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2006-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2006-01-01 | 0 |
| Total of all active and inactive participants | 2006-01-01 | 0 |
| Total participants | 2006-01-01 | 0 |
| Number of participants with account balances | 2006-01-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2006-01-01 | 0 |
| Measure | Date | Value |
|---|---|---|
| 2006 : KENT L. DAVIS, MD PROFIT SHARING PLAN 2006 401k financial data | ||
| Total income from all sources | 2006-12-31 | $10,752 |
| Expenses. Total of all expenses incurred | 2006-12-31 | $170,480 |
| Benefits paid (including direct rollovers) | 2006-12-31 | $170,480 |
| Total plan assets at beginning of year | 2006-12-31 | $159,728 |
| Other income received | 2006-12-31 | $10,752 |
| Net income (gross income less expenses) | 2006-12-31 | $-159,728 |
| Net plan assets at beginning of year (total assets less liabilities) | 2006-12-31 | $159,728 |
| 2006: KENT L. DAVIS, MD PROFIT SHARING PLAN 2006 form 5500 responses | ||
|---|---|---|
| 2006-01-01 | Type of plan entity | Single employer plan |
| 2006-01-01 | This submission is the final filing | Yes |
| 2006-01-01 | Plan funding arrangement – Trust | Yes |
| 2006-01-01 | Plan benefit arrangement - Trust | Yes |
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