401k Plan data: JOHN F. OLIVA, MD, PA, 401 (K) PROFIT SHARING PLAN001 plan

JOHN F. OLIVA, MD, PA, 401 (K) PROFIT SHARING PLAN001 401k Plan overview

Plan Name	JOHN F. OLIVA, MD, PA, 401 (K) PROFIT SHARING PLAN001
Plan identification number	001

JOHN F. OLIVA, MD, PA, 401 (K) PROFIT SHARING PLAN001 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
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
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.
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.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.

401k Sponsoring company profile

JOHN F. OLIVA, MD, PA has sponsored the creation of one or more 401k plans.

Company Name: JOHN F. OLIVA, MD, PA

Employer identification number (EIN): 650608959

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOHN F. OLIVA, MD, PA, 401 (K) PROFIT SHARING PLAN001

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-01-01 JANICE QUICK
001 2011-01-01 JANICE QUICK
001 2010-01-01 JANICE QUICK
001 2009-01-01 JANICE QUICK

Plan id#	Filing Submission Date	Name of Administrator
001	2012-01-01	JANICE QUICK
001	2011-01-01	JANICE QUICK
001	2010-01-01	JANICE QUICK
001	2009-01-01	JANICE QUICK

Plan Statistics for JOHN F. OLIVA, MD, PA, 401 (K) PROFIT SHARING PLAN001

401k plan membership statisitcs for JOHN F. OLIVA, MD, PA, 401 (K) PROFIT SHARING PLAN001

Measure Date Value
2012: JOHN F. OLIVA, MD, PA, 401 (K) PROFIT SHARING PLAN001 2012 401k membership
Total participants, beginning-of-year 2012-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Total of all active and inactive participants 2012-01-01 0
Total participants 2012-01-01 0
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: JOHN F. OLIVA, MD, PA, 401 (K) PROFIT SHARING PLAN001 2011 401k membership
Total participants, beginning-of-year 2011-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 0
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 5
Total of all active and inactive participants 2011-01-01 5
Total participants 2011-01-01 5
Number of participants with account balances 2011-01-01 4
2010: JOHN F. OLIVA, MD, PA, 401 (K) PROFIT SHARING PLAN001 2010 401k membership
Total participants, beginning-of-year 2010-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 5
Total of all active and inactive participants 2010-01-01 5
Total participants 2010-01-01 5
Number of participants with account balances 2010-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: JOHN F. OLIVA, MD, PA, 401 (K) PROFIT SHARING PLAN001 2009 401k membership
Total participants, beginning-of-year 2009-01-01 5
Number of other retired or separated participants entitled to future benefits 2009-01-01 5
Total of all active and inactive participants 2009-01-01 5
Total participants 2009-01-01 5
Number of participants with account balances 2009-01-01 5

Measure	Date	Value
2012: JOHN F. OLIVA, MD, PA, 401 (K) PROFIT SHARING PLAN001 2012 401k membership
Total participants, beginning-of-year	2012-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Total of all active and inactive participants	2012-01-01	0
Total participants	2012-01-01	0
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: JOHN F. OLIVA, MD, PA, 401 (K) PROFIT SHARING PLAN001 2011 401k membership
Total participants, beginning-of-year	2011-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	5
Total of all active and inactive participants	2011-01-01	5
Total participants	2011-01-01	5
Number of participants with account balances	2011-01-01	4
2010: JOHN F. OLIVA, MD, PA, 401 (K) PROFIT SHARING PLAN001 2010 401k membership
Total participants, beginning-of-year	2010-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	5
Total of all active and inactive participants	2010-01-01	5
Total participants	2010-01-01	5
Number of participants with account balances	2010-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: JOHN F. OLIVA, MD, PA, 401 (K) PROFIT SHARING PLAN001 2009 401k membership
Total participants, beginning-of-year	2009-01-01	5
Number of other retired or separated participants entitled to future benefits	2009-01-01	5
Total of all active and inactive participants	2009-01-01	5
Total participants	2009-01-01	5
Number of participants with account balances	2009-01-01	5

Financial Data on JOHN F. OLIVA, MD, PA, 401 (K) PROFIT SHARING PLAN001

Measure	Date	Value
2012 : JOHN F. OLIVA, MD, PA, 401 (K) PROFIT SHARING PLAN001 2012 401k financial data
Expenses. Total of all expenses incurred	2012-12-31	$1,272,210
Benefits paid (including direct rollovers)	2012-12-31	$1,272,210
Total plan assets at end of year	2012-12-31	$0
Total plan assets at beginning of year	2012-12-31	$1,272,210
Net income (gross income less expenses)	2012-12-31	$-1,272,210
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,272,210
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : JOHN F. OLIVA, MD, PA, 401 (K) PROFIT SHARING PLAN001 2011 401k financial data
Expenses. Total of all expenses incurred	2011-12-31	$3,211
Benefits paid (including direct rollovers)	2011-12-31	$2,990
Total plan assets at end of year	2011-12-31	$127,221
Total plan assets at beginning of year	2011-12-31	$130,432
Value of fidelity bond covering the plan	2011-12-31	$10,000
Expenses. Other expenses not covered elsewhere	2011-12-31	$221
Net income (gross income less expenses)	2011-12-31	$-3,211
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$127,221
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$130,432
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : JOHN F. OLIVA, MD, PA, 401 (K) PROFIT SHARING PLAN001 2010 401k financial data
Total income from all sources	2010-12-31	$15,688
Total plan assets at end of year	2010-12-31	$130,432
Total plan assets at beginning of year	2010-12-31	$114,744
Other income received	2010-12-31	$15,688
Net income (gross income less expenses)	2010-12-31	$15,688
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$130,432
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$114,744

Form 5500 Responses for JOHN F. OLIVA, MD, PA, 401 (K) PROFIT SHARING PLAN001

2012: JOHN F. OLIVA, MD, PA, 401 (K) PROFIT SHARING PLAN001 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	Yes
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: JOHN F. OLIVA, MD, PA, 401 (K) PROFIT SHARING PLAN001 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: JOHN F. OLIVA, MD, PA, 401 (K) PROFIT SHARING PLAN001 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: JOHN F. OLIVA, MD, PA, 401 (K) PROFIT SHARING PLAN001 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	JOHN F. OLIVA, MD, PA
Employer identification number (EIN):	650608959
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)