401k Plan data: EAST TENNESSEE NEUROLOGY CLINIC PC PROFIT SHARING PLAN plan

EAST TENNESSEE NEUROLOGY CLINIC PC PROFIT SHARING PLAN 401k Plan overview

Plan Name	EAST TENNESSEE NEUROLOGY CLINIC PC PROFIT SHARING PLAN
Plan identification number	002

EAST TENNESSEE NEUROLOGY CLINIC PC PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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

EAST TENNESSEE NEUROLOGY CLINIC P has sponsored the creation of one or more 401k plans.

Company Name: EAST TENNESSEE NEUROLOGY CLINIC P

Employer identification number (EIN): 620953187

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EAST TENNESSEE NEUROLOGY CLINIC PC PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2009-10-01 SAM A. KABBANI, MD

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2009-10-01	SAM A. KABBANI, MD

Plan Statistics for EAST TENNESSEE NEUROLOGY CLINIC PC PROFIT SHARING PLAN

401k plan membership statisitcs for EAST TENNESSEE NEUROLOGY CLINIC PC PROFIT SHARING PLAN

Measure Date Value
2009: EAST TENNESSEE NEUROLOGY CLINIC PC PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 7
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 6
Number of retired or separated participants receiving benefits 2009-10-01 0
Number of other retired or separated participants entitled to future benefits 2009-10-01 1
Total of all active and inactive participants 2009-10-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-10-01 0
Total participants 2009-10-01 7
Number of participants with account balances 2009-10-01 7

Measure	Date	Value
2009: EAST TENNESSEE NEUROLOGY CLINIC PC PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	7
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	6
Number of retired or separated participants receiving benefits	2009-10-01	0
Number of other retired or separated participants entitled to future benefits	2009-10-01	1
Total of all active and inactive participants	2009-10-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-10-01	0
Total participants	2009-10-01	7
Number of participants with account balances	2009-10-01	7

Financial Data on EAST TENNESSEE NEUROLOGY CLINIC PC PROFIT SHARING PLAN

Measure	Date	Value
2011 : EAST TENNESSEE NEUROLOGY CLINIC PC PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-09-30	$392,678
Expenses. Total of all expenses incurred	2011-09-30	$1,155,230
Benefits paid (including direct rollovers)	2011-09-30	$1,155,230
Total plan assets at end of year	2011-09-30	$0
Total plan assets at beginning of year	2011-09-30	$762,552
Value of fidelity bond covering the plan	2011-09-30	$150,000
Other income received	2011-09-30	$392,678
Net income (gross income less expenses)	2011-09-30	$-762,552
Net plan assets at end of year (total assets less liabilities)	2011-09-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2011-09-30	$762,552

Form 5500 Responses for EAST TENNESSEE NEUROLOGY CLINIC PC PROFIT SHARING PLAN

2009: EAST TENNESSEE NEUROLOGY CLINIC PC PROFIT SHARING PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	Plan funding arrangement – Trust	Yes
2009-10-01	Plan benefit arrangement – Insurance	Yes
2009-10-01	Plan benefit arrangement - Trust	Yes

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Company Name:	EAST TENNESSEE NEUROLOGY CLINIC P
Employer identification number (EIN):	620953187