401k Plan data: DOUGLAS M. VAUGHN, D.O., P.C. PROFIT SHARING PLAN plan

DOUGLAS M. VAUGHN, D.O., P.C. PROFIT SHARING PLAN 401k Plan overview

Plan Name	DOUGLAS M. VAUGHN, D.O., P.C. PROFIT SHARING PLAN
Plan identification number	002

DOUGLAS M. VAUGHN, D.O., P.C. PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	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.

401k Sponsoring company profile

DOUGLAS M. VAUGHN, D.O., P.C. has sponsored the creation of one or more 401k plans.

Company Name: DOUGLAS M. VAUGHN, D.O., P.C.

Employer identification number (EIN): 680510399

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DOUGLAS M. VAUGHN, D.O., P.C. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2014-01-01 DOUGLAS VAUGHN
002 2013-01-01 DOUGLAS VAUGHN
002 2010-01-01 DOUGLAS VAUGHN
002 2009-01-01 DOUGLAS VAUGHN

Plan id#	Filing Submission Date	Name of Administrator
002	2014-01-01	DOUGLAS VAUGHN
002	2013-01-01	DOUGLAS VAUGHN
002	2010-01-01	DOUGLAS VAUGHN
002	2009-01-01	DOUGLAS VAUGHN

Plan Statistics for DOUGLAS M. VAUGHN, D.O., P.C. PROFIT SHARING PLAN

401k plan membership statisitcs for DOUGLAS M. VAUGHN, D.O., P.C. PROFIT SHARING PLAN

Measure Date Value
2014: DOUGLAS M. VAUGHN, D.O., P.C. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
Total participants 2014-01-01 0
2013: DOUGLAS M. VAUGHN, D.O., P.C. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 8
Total of all active and inactive participants 2013-01-01 8
Total participants 2013-01-01 8
Number of participants with account balances 2013-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2010: DOUGLAS M. VAUGHN, D.O., P.C. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 6
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 1
Total of all active and inactive participants 2010-01-01 7
Total participants 2010-01-01 7
Number of participants with account balances 2010-01-01 7
2009: DOUGLAS M. VAUGHN, D.O., P.C. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 5
Number of other retired or separated participants entitled to future benefits 2009-01-01 2
Total of all active and inactive participants 2009-01-01 7
Total participants 2009-01-01 7
Number of participants with account balances 2009-01-01 7

Measure	Date	Value
2014: DOUGLAS M. VAUGHN, D.O., P.C. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
Total participants	2014-01-01	0
2013: DOUGLAS M. VAUGHN, D.O., P.C. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	8
Total of all active and inactive participants	2013-01-01	8
Total participants	2013-01-01	8
Number of participants with account balances	2013-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2010: DOUGLAS M. VAUGHN, D.O., P.C. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	6
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	1
Total of all active and inactive participants	2010-01-01	7
Total participants	2010-01-01	7
Number of participants with account balances	2010-01-01	7
2009: DOUGLAS M. VAUGHN, D.O., P.C. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	5
Number of other retired or separated participants entitled to future benefits	2009-01-01	2
Total of all active and inactive participants	2009-01-01	7
Total participants	2009-01-01	7
Number of participants with account balances	2009-01-01	7

Financial Data on DOUGLAS M. VAUGHN, D.O., P.C. PROFIT SHARING PLAN

Measure	Date	Value
2014 : DOUGLAS M. VAUGHN, D.O., P.C. PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$686,066
Expenses. Total of all expenses incurred	2014-12-31	$3,935,592
Benefits paid (including direct rollovers)	2014-12-31	$3,935,592
Total plan assets at end of year	2014-12-31	$0
Total plan assets at beginning of year	2014-12-31	$3,249,526
Value of fidelity bond covering the plan	2014-12-31	$3,000,000
Other income received	2014-12-31	$686,066
Net income (gross income less expenses)	2014-12-31	$-3,249,526
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$3,249,526
2013 : DOUGLAS M. VAUGHN, D.O., P.C. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$595,295
Expenses. Total of all expenses incurred	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$3,249,526
Total plan assets at beginning of year	2013-12-31	$2,654,231
Value of fidelity bond covering the plan	2013-12-31	$3,000,000
Other income received	2013-12-31	$531,543
Net income (gross income less expenses)	2013-12-31	$595,295
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$3,249,526
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$2,654,231
Total contributions received or receivable from employer(s)	2013-12-31	$63,752
2010 : DOUGLAS M. VAUGHN, D.O., P.C. PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$338,143
Expenses. Total of all expenses incurred	2010-12-31	$3,945
Benefits paid (including direct rollovers)	2010-12-31	$3,945
Total plan assets at end of year	2010-12-31	$2,326,567
Total plan assets at beginning of year	2010-12-31	$1,992,369
Value of fidelity bond covering the plan	2010-12-31	$300,000
Other income received	2010-12-31	$280,106
Net income (gross income less expenses)	2010-12-31	$334,198
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$2,326,567
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,992,369
Total contributions received or receivable from employer(s)	2010-12-31	$58,037

Form 5500 Responses for DOUGLAS M. VAUGHN, D.O., P.C. PROFIT SHARING PLAN

2014: DOUGLAS M. VAUGHN, D.O., P.C. 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	Yes
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: DOUGLAS M. VAUGHN, D.O., P.C. 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
2010: DOUGLAS M. VAUGHN, D.O., P.C. PROFIT SHARING PLAN 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: DOUGLAS M. VAUGHN, D.O., P.C. PROFIT SHARING PLAN 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:	DOUGLAS M. VAUGHN, D.O., P.C.
Employer identification number (EIN):	680510399
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)