401k Plan data: M SCOTT MAJOR M.D., P.C. PROFIT SHARING PLAN plan

M SCOTT MAJOR M.D., P.C. PROFIT SHARING PLAN 401k Plan overview

Plan Name	M SCOTT MAJOR M.D., P.C. PROFIT SHARING PLAN
Plan identification number	001

M SCOTT MAJOR M.D., P.C. 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

M SCOTT MAJOR M.D., P.C. DBA WASATCH EAR, NOSE, THROAT & ALLERGY has sponsored the creation of one or more 401k plans.

Company Name: M SCOTT MAJOR M.D., P.C. DBA WASATCH EAR, NOSE, THROAT & ALLERGY

Employer identification number (EIN): 731642150

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan M SCOTT MAJOR M.D., P.C. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-01-01 M SCOTT MAJOR M SCOTT MAJOR 2013-12-23
001 2012-01-01 M SCOTT MAJOR
001 2011-01-01 M SCOTT MAJOR
001 2010-01-01 M SCOTT MAJOR
001 2009-01-01 M SCOTT MAJOR

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2013-01-01	M SCOTT MAJOR	M SCOTT MAJOR	2013-12-23
001	2012-01-01	M SCOTT MAJOR
001	2011-01-01	M SCOTT MAJOR
001	2010-01-01	M SCOTT MAJOR
001	2009-01-01	M SCOTT MAJOR

Plan Statistics for M SCOTT MAJOR M.D., P.C. PROFIT SHARING PLAN

401k plan membership statisitcs for M SCOTT MAJOR M.D., P.C. PROFIT SHARING PLAN

Measure Date Value
2013: M SCOTT MAJOR M.D., P.C. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: M SCOTT MAJOR M.D., P.C. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 8
Total of all active and inactive participants 2012-01-01 8
Total participants 2012-01-01 8
Number of participants with account balances 2012-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: M SCOTT MAJOR M.D., P.C. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 7
Total of all active and inactive participants 2011-01-01 7
Total participants 2011-01-01 7
Number of participants with account balances 2011-01-01 7
2010: M SCOTT MAJOR M.D., P.C. PROFIT SHARING PLAN 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 7
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: M SCOTT MAJOR M.D., P.C. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 3
Total number of active participants reported on line 7a of the Form 5500 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
2013: M SCOTT MAJOR M.D., P.C. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: M SCOTT MAJOR M.D., P.C. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	8
Total of all active and inactive participants	2012-01-01	8
Total participants	2012-01-01	8
Number of participants with account balances	2012-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: M SCOTT MAJOR M.D., P.C. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	7
Total of all active and inactive participants	2011-01-01	7
Total participants	2011-01-01	7
Number of participants with account balances	2011-01-01	7
2010: M SCOTT MAJOR M.D., P.C. PROFIT SHARING PLAN 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	7
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: M SCOTT MAJOR M.D., P.C. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	3
Total number of active participants reported on line 7a of the Form 5500	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 M SCOTT MAJOR M.D., P.C. PROFIT SHARING PLAN

Measure	Date	Value
2013 : M SCOTT MAJOR M.D., P.C. PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan	2013-10-28	$-806,154
Total plan liabilities at end of year	2013-10-28	$0
Total plan liabilities at beginning of year	2013-10-28	$0
Total income from all sources	2013-10-28	$100,478
Expenses. Total of all expenses incurred	2013-10-28	$4,899
Benefits paid (including direct rollovers)	2013-10-28	$0
Total plan assets at end of year	2013-10-28	$0
Total plan assets at beginning of year	2013-10-28	$710,575
Value of fidelity bond covering the plan	2013-10-28	$40,000
Total contributions received or receivable from participants	2013-10-28	$0
Expenses. Other expenses not covered elsewhere	2013-10-28	$0
Contributions received from other sources (not participants or employers)	2013-10-28	$0
Other income received	2013-10-28	$100,478
Noncash contributions received	2013-10-28	$0
Net income (gross income less expenses)	2013-10-28	$95,579
Net plan assets at end of year (total assets less liabilities)	2013-10-28	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-10-28	$710,575
Total contributions received or receivable from employer(s)	2013-10-28	$0
Value of certain deemed distributions of participant loans	2013-10-28	$0
Value of corrective distributions	2013-10-28	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-10-28	$4,899
2012 : M SCOTT MAJOR M.D., P.C. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$134,217
Expenses. Total of all expenses incurred	2012-12-31	$2,762
Benefits paid (including direct rollovers)	2012-12-31	$2,762
Total plan assets at end of year	2012-12-31	$710,575
Total plan assets at beginning of year	2012-12-31	$579,120
Value of fidelity bond covering the plan	2012-12-31	$40,000
Other income received	2012-12-31	$78,299
Net income (gross income less expenses)	2012-12-31	$131,455
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$710,575
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$579,120
Total contributions received or receivable from employer(s)	2012-12-31	$55,918
2011 : M SCOTT MAJOR M.D., P.C. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$42,428
Total plan assets at end of year	2011-12-31	$579,120
Total plan assets at beginning of year	2011-12-31	$536,692
Value of fidelity bond covering the plan	2011-12-31	$40,000
Other income received	2011-12-31	$-29,654
Net income (gross income less expenses)	2011-12-31	$42,428
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$579,120
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$536,692
Total contributions received or receivable from employer(s)	2011-12-31	$72,082
2010 : M SCOTT MAJOR M.D., P.C. PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$131,709
Total plan assets at end of year	2010-12-31	$536,692
Total plan assets at beginning of year	2010-12-31	$404,983
Value of fidelity bond covering the plan	2010-12-31	$40,000
Other income received	2010-12-31	$59,693
Net income (gross income less expenses)	2010-12-31	$131,709
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$536,692
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$404,983
Total contributions received or receivable from employer(s)	2010-12-31	$72,016

Form 5500 Responses for M SCOTT MAJOR M.D., P.C. PROFIT SHARING PLAN

2013: M SCOTT MAJOR M.D., 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	Yes
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: M SCOTT MAJOR M.D., P.C. PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: M SCOTT MAJOR M.D., P.C. PROFIT SHARING PLAN 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: M SCOTT MAJOR M.D., P.C. PROFIT SHARING PLAN 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
2009: M SCOTT MAJOR M.D., P.C. PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	M SCOTT MAJOR M.D., P.C. DBA WASATCH EAR, NOSE, THROAT & ALLERGY
Employer identification number (EIN):	731642150
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)