401k Plan data: FRANCIS A. HAWTHORN, DPM, PC PROFIT SHARING PLAN plan

FRANCIS A. HAWTHORN, DPM, PC PROFIT SHARING PLAN 401k Plan overview

Plan Name	FRANCIS A. HAWTHORN, DPM, PC PROFIT SHARING PLAN
Plan identification number	001

FRANCIS A. HAWTHORN, DPM, PC PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing

401k Sponsoring company profile

FRANCIS A. HAWTHORN, DPM, PC has sponsored the creation of one or more 401k plans.

Company Name: FRANCIS A. HAWTHORN, DPM, PC

Employer identification number (EIN): 621552778

NAIC Classification: 621391
NAIC Description: Offices of Podiatrists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FRANCIS A. HAWTHORN, DPM, PC PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2011-01-01 FRANCIS A HAWTHORN
001 2009-01-01 FRANCIS A HAWTHORN

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2011-01-01	FRANCIS A HAWTHORN
001	2009-01-01	FRANCIS A HAWTHORN

Plan Statistics for FRANCIS A. HAWTHORN, DPM, PC PROFIT SHARING PLAN

401k plan membership statisitcs for FRANCIS A. HAWTHORN, DPM, PC PROFIT SHARING PLAN

Measure Date Value
2011: FRANCIS A. HAWTHORN, DPM, PC PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 4
Total of all active and inactive participants 2011-01-01 0
Total participants 2011-01-01 0
2009: FRANCIS A. HAWTHORN, DPM, PC PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 4
Total of all active and inactive participants 2009-01-01 4
Total participants 2009-01-01 4
Number of participants with account balances 2009-01-01 4

Measure	Date	Value
2011: FRANCIS A. HAWTHORN, DPM, PC PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	4
Total of all active and inactive participants	2011-01-01	0
Total participants	2011-01-01	0
2009: FRANCIS A. HAWTHORN, DPM, PC PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	4
Total of all active and inactive participants	2009-01-01	4
Total participants	2009-01-01	4
Number of participants with account balances	2009-01-01	4

Financial Data on FRANCIS A. HAWTHORN, DPM, PC PROFIT SHARING PLAN

Measure	Date	Value
2011 : FRANCIS A. HAWTHORN, DPM, PC PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$20,273
Expenses. Total of all expenses incurred	2011-12-31	$1,468,030
Benefits paid (including direct rollovers)	2011-12-31	$1,468,030
Total plan assets at end of year	2011-12-31	$0
Total plan assets at beginning of year	2011-12-31	$1,447,757
Value of fidelity bond covering the plan	2011-12-31	$150,000
Other income received	2011-12-31	$20,273
Net income (gross income less expenses)	2011-12-31	$-1,447,757
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,447,757
2010 : FRANCIS A. HAWTHORN, DPM, PC PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$168,608
Expenses. Total of all expenses incurred	2010-12-31	$185
Total plan assets at end of year	2010-12-31	$1,447,757
Total plan assets at beginning of year	2010-12-31	$1,279,334
Value of fidelity bond covering the plan	2010-12-31	$150,000
Expenses. Other expenses not covered elsewhere	2010-12-31	$185
Other income received	2010-12-31	$168,608
Net income (gross income less expenses)	2010-12-31	$168,423
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,447,757
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,279,334

Form 5500 Responses for FRANCIS A. HAWTHORN, DPM, PC PROFIT SHARING PLAN

2011: FRANCIS A. HAWTHORN, DPM, PC PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	This submission is the final filing	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: FRANCIS A. HAWTHORN, DPM, PC PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	FRANCIS A. HAWTHORN, DPM, PC
Employer identification number (EIN):	621552778
NAIC Classification:	621391
NAIC Description:	Offices of Podiatrists