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| Plan Name | GEORGE BELCHIC JR SELF EMPLOYED RETIREMENT TRUST |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | GEORGE BELCHIC JR |
| Employer identification number (EIN): | 720797163 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2011-01-01 | GEORGE BELCHIC JR | |||
| 001 | 2010-01-01 | GEORGE BELCHIC JR |
| Measure | Date | Value |
|---|---|---|
| 2011: GEORGE BELCHIC JR SELF EMPLOYED RETIREMENT TRUST 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-01-01 | 1 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 1 |
| Total of all active and inactive participants | 2011-01-01 | 1 |
| Total participants | 2011-01-01 | 1 |
| 2010: GEORGE BELCHIC JR SELF EMPLOYED RETIREMENT TRUST 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-01-01 | 1 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 1 |
| Total of all active and inactive participants | 2010-01-01 | 1 |
| Total participants | 2010-01-01 | 1 |
| Measure | Date | Value |
|---|---|---|
| 2011 : GEORGE BELCHIC JR SELF EMPLOYED RETIREMENT TRUST 2011 401k financial data | ||
| Total income from all sources | 2011-12-31 | $-22,178 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $26,550 |
| Benefits paid (including direct rollovers) | 2011-12-31 | $26,500 |
| Total plan assets at end of year | 2011-12-31 | $322,292 |
| Total plan assets at beginning of year | 2011-12-31 | $371,020 |
| Expenses. Other expenses not covered elsewhere | 2011-12-31 | $50 |
| Other income received | 2011-12-31 | $-22,178 |
| Net income (gross income less expenses) | 2011-12-31 | $-48,728 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $322,292 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $371,020 |
| 2010 : GEORGE BELCHIC JR SELF EMPLOYED RETIREMENT TRUST 2010 401k financial data | ||
| Total income from all sources | 2010-12-31 | $25,838 |
| Total plan assets at end of year | 2010-12-31 | $371,020 |
| Total plan assets at beginning of year | 2010-12-31 | $345,182 |
| Other income received | 2010-12-31 | $25,838 |
| Net income (gross income less expenses) | 2010-12-31 | $25,838 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $371,020 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $345,182 |
| 2011: GEORGE BELCHIC JR SELF EMPLOYED RETIREMENT TRUST 2011 form 5500 responses | ||
|---|---|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Trust | Yes |
| 2011-01-01 | Plan benefit arrangement - Trust | Yes |
| 2010: GEORGE BELCHIC JR SELF EMPLOYED RETIREMENT TRUST 2010 form 5500 responses | ||
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Plan funding arrangement – Trust | Yes |
| 2010-01-01 | Plan benefit arrangement - Trust | Yes |
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