DAVID S. ANDERSON, M.D., INC. PENSION PLAN 401k Plan overview

DAVID S. ANDERSON, M.D., INC. PENSION PLAN Benefits

401k Sponsoring company profile

Company Name:	DAVID S. ANDERSON, MD, INC.
Employer identification number (EIN):	621047220
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2015-06-01	DAVID S. ANDERSON		DAVID S. ANDERSON	2016-06-23
001	2014-07-01	DAVID S. ANDERSON		DAVID S. ANDERSON	2016-03-22
001	2013-07-01	DAVID S. ANDERSON		DAVID S. ANDERSON	2015-01-19
001	2012-07-01	DAVID S. ANDERSON		DAVID S. ANDERSON	2014-03-31
001	2011-07-01	DAVID S. ANDERSON		DAVID S. ANDERSON	2012-07-25
001	2009-07-01	DAVID S. ANDERSON		DAVID S. ANDERSON	2011-02-17

Plan Statistics for DAVID S. ANDERSON, M.D., INC. PENSION PLAN

Measure	Date	Value
2015: DAVID S. ANDERSON, M.D., INC. PENSION PLAN 2015 401k membership
Total participants, beginning-of-year	2015-06-01	5
Total number of active participants reported on line 7a of the Form 5500	2015-06-01	0
Number of retired or separated participants receiving benefits	2015-06-01	0
Number of other retired or separated participants entitled to future benefits	2015-06-01	0
Total of all active and inactive participants	2015-06-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-06-01	0
Total participants	2015-06-01	0
Number of participants with account balances	2015-06-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-06-01	0
2014: DAVID S. ANDERSON, M.D., INC. PENSION PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	5
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	5
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	0
Total of all active and inactive participants	2014-07-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	5
Number of participants with account balances	2014-07-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	0
2013: DAVID S. ANDERSON, M.D., INC. PENSION PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	5
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	5
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	0
Total of all active and inactive participants	2013-07-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	0
Total participants	2013-07-01	5
Number of participants with account balances	2013-07-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	0
2012: DAVID S. ANDERSON, M.D., INC. PENSION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	5
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	5
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	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	5
Number of participants with account balances	2012-07-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	0
2011: DAVID S. ANDERSON, M.D., INC. PENSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	5
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	0
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	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	5
Number of participants with account balances	2011-07-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	0
2009: DAVID S. ANDERSON, M.D., INC. PENSION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	5
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	0
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	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	5
Number of participants with account balances	2009-07-01	5

Financial Data on DAVID S. ANDERSON, M.D., INC. PENSION PLAN

Form 5500 Responses for DAVID S. ANDERSON, M.D., INC. PENSION PLAN

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