401k Plan data: JOHN M. GRAY, M.D., INC. PROFIT SHARING PLAN plan

JOHN M. GRAY, M.D., INC. PROFIT SHARING PLAN 401k Plan overview

Plan Name	JOHN M. GRAY, M.D., INC. PROFIT SHARING PLAN
Plan identification number	001

JOHN M. GRAY, M.D., INC. PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing 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

JOHN M. GRAY, M.D., INC. has sponsored the creation of one or more 401k plans.

Company Name: JOHN M. GRAY, M.D., INC.

Employer identification number (EIN): 680466368

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

Additional information about JOHN M. GRAY, M.D., INC.

Jurisdiction of Incorporation: California Department of State

Incorporation Date: 2001-01-03

Company Identification Number: C2325757

Legal Registered Office Address: 525 Doyle Park Dr #102

Santa Rosa
United States of America (USA)
95405

More information about JOHN M. GRAY, M.D., INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOHN M. GRAY, M.D., INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 JOHN M. GRAY
001 2015-01-01 JOHN M. GRAY
001 2015-01-01
001 2015-01-01 JOHN GRAY
001 2015-01-01 JOHN M. GRAY
001 2015-01-01
001 2015-01-01
001 2015-01-01 JOHN GRAY 2016-10-11
001 2014-01-01 JOHN M. GRAY
001 2013-01-01 WEI GUO YU
001 2012-01-01 WEI GUO YU

Plan Statistics for JOHN M. GRAY, M.D., INC. PROFIT SHARING PLAN

401k plan membership statisitcs for JOHN M. GRAY, M.D., INC. PROFIT SHARING PLAN

Measure Date Value
2015: JOHN M. GRAY, M.D., INC. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: JOHN M. GRAY, M.D., INC. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 3
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 3
Number of participants with account balances 2014-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: JOHN M. GRAY, M.D., INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 3
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 3
Number of participants with account balances 2013-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: JOHN M. GRAY, M.D., INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 3
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 3
Number of participants with account balances 2012-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0

Measure	Date	Value
2015: JOHN M. GRAY, M.D., INC. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: JOHN M. GRAY, M.D., INC. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	3
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	3
Number of participants with account balances	2014-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: JOHN M. GRAY, M.D., INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	3
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	3
Number of participants with account balances	2013-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: JOHN M. GRAY, M.D., INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	3
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	3
Number of participants with account balances	2012-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0

Financial Data on JOHN M. GRAY, M.D., INC. PROFIT SHARING PLAN

Measure	Date	Value
2015 : JOHN M. GRAY, M.D., INC. PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$-2,152
Expenses. Total of all expenses incurred	2015-12-31	$2,521,163
Benefits paid (including direct rollovers)	2015-12-31	$2,519,828
Total plan assets at end of year	2015-12-31	$0
Total plan assets at beginning of year	2015-12-31	$2,523,315
Other income received	2015-12-31	$-2,152
Net income (gross income less expenses)	2015-12-31	$-2,523,315
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$2,523,315
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$1,335
2014 : JOHN M. GRAY, M.D., INC. PROFIT SHARING PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$256,046
Expenses. Total of all expenses incurred	2014-12-31	$87,784
Benefits paid (including direct rollovers)	2014-12-31	$87,784
Total plan assets at end of year	2014-12-31	$2,523,315
Total plan assets at beginning of year	2014-12-31	$2,355,053
Total contributions received or receivable from participants	2014-12-31	$0
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$256,046
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$168,262
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,523,315
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$2,355,053
Total contributions received or receivable from employer(s)	2014-12-31	$0
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$0
2013 : JOHN M. GRAY, M.D., INC. PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$482,518
Expenses. Total of all expenses incurred	2013-12-31	$70,056
Benefits paid (including direct rollovers)	2013-12-31	$70,056
Total plan assets at end of year	2013-12-31	$2,355,053
Total plan assets at beginning of year	2013-12-31	$1,942,591
Total contributions received or receivable from participants	2013-12-31	$0
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$482,518
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$412,462
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$2,355,053
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,942,591
Total contributions received or receivable from employer(s)	2013-12-31	$0
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$0
2012 : JOHN M. GRAY, M.D., INC. PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$184,252
Expenses. Total of all expenses incurred	2012-12-31	$0
Benefits paid (including direct rollovers)	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$1,942,591
Total plan assets at beginning of year	2012-12-31	$1,758,339
Total contributions received or receivable from participants	2012-12-31	$0
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$148,956
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$184,252
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,942,591
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,758,339
Total contributions received or receivable from employer(s)	2012-12-31	$35,296
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$0

Form 5500 Responses for JOHN M. GRAY, M.D., INC. PROFIT SHARING PLAN

2015: JOHN M. GRAY, M.D., INC. PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	Yes
2015-01-01	This submission is the final filing	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: JOHN M. GRAY, M.D., INC. PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: JOHN M. GRAY, M.D., INC. PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: JOHN M. GRAY, M.D., INC. PROFIT SHARING PLAN 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	No
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

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Company Name:	JOHN M. GRAY, M.D., INC.
Employer identification number (EIN):	680466368
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:	2001-01-03
Company Identification Number:	C2325757
Legal Registered Office Address:	525 Doyle Park Dr #102 Santa Rosa United States of America (USA) 95405

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2015-01-01	JOHN M. GRAY
001	2015-01-01	JOHN M. GRAY
001	2015-01-01
001	2015-01-01	JOHN GRAY
001	2015-01-01	JOHN M. GRAY
001	2015-01-01
001	2015-01-01
001	2015-01-01	JOHN GRAY	2016-10-11
001	2014-01-01	JOHN M. GRAY
001	2013-01-01	WEI GUO YU
001	2012-01-01	WEI GUO YU