401k Plan data: DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST plan

DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 401k Plan overview

Plan Name	DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST
Plan identification number	001

DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 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(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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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

DERMATOLOGY & SKIN CANCER CLINIC, P.A. has sponsored the creation of one or more 401k plans.

Company Name: DERMATOLOGY & SKIN CANCER CLINIC, P.A.

Employer identification number (EIN): 751975315

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 SHELLEY SIMPSON
001 2014-01-01 SHELLEY SIMPSON
001 2013-01-01 JERRI REX STEPHEN BECK, M.D. 2014-06-18
001 2012-01-01 JERRI REX STEPHEN BECK, M.D. 2013-07-10
001 2011-01-01 JERRI REX JERRI REX 2012-09-04
001 2010-01-01 JERRI REX
001 2009-01-01 JERRI REX
001 2009-01-01

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2016-01-01	SHELLEY SIMPSON
001	2014-01-01	SHELLEY SIMPSON
001	2013-01-01	JERRI REX	STEPHEN BECK, M.D.	2014-06-18
001	2012-01-01	JERRI REX	STEPHEN BECK, M.D.	2013-07-10
001	2011-01-01	JERRI REX	JERRI REX	2012-09-04
001	2010-01-01	JERRI REX
001	2009-01-01	JERRI REX
001	2009-01-01

Plan Statistics for DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST

401k plan membership statisitcs for DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST

Measure Date Value
2016: DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2016 401k membership
Total participants, beginning-of-year 2016-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2014: DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 21
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 13
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 7
Total of all active and inactive participants 2014-01-01 20
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 20
Number of participants with account balances 2014-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 1
2013: DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 21
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 16
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 5
Total of all active and inactive participants 2013-01-01 21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 21
Number of participants with account balances 2013-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 23
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 17
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 4
Total of all active and inactive participants 2012-01-01 21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 21
Number of participants with account balances 2012-01-01 20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 22
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 17
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 6
Total of all active and inactive participants 2011-01-01 23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 23
Number of participants with account balances 2011-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2010: DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2010 401k membership
Total participants, beginning-of-year 2010-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 18
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 4
Total of all active and inactive participants 2010-01-01 22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 22
Number of participants with account balances 2010-01-01 21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 14
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 3
Total of all active and inactive participants 2009-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 17
Number of participants with account balances 2009-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2016: DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2016 401k membership
Total participants, beginning-of-year	2016-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2014: DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	21
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	13
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	7
Total of all active and inactive participants	2014-01-01	20
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	20
Number of participants with account balances	2014-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	1
2013: DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	21
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	16
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	5
Total of all active and inactive participants	2013-01-01	21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	21
Number of participants with account balances	2013-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	23
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	17
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	4
Total of all active and inactive participants	2012-01-01	21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	21
Number of participants with account balances	2012-01-01	20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	22
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	17
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	6
Total of all active and inactive participants	2011-01-01	23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	23
Number of participants with account balances	2011-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2010: DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2010 401k membership
Total participants, beginning-of-year	2010-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	18
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	4
Total of all active and inactive participants	2010-01-01	22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	22
Number of participants with account balances	2010-01-01	21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	14
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	3
Total of all active and inactive participants	2009-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	17
Number of participants with account balances	2009-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST

Measure	Date	Value
2016 : DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2016 401k financial data
Total income from all sources	2016-04-04	$-5,709
Expenses. Total of all expenses incurred	2016-04-04	$594,558
Benefits paid (including direct rollovers)	2016-04-04	$594,558
Total plan assets at end of year	2016-04-04	$0
Total plan assets at beginning of year	2016-04-04	$600,267
Other income received	2016-04-04	$-5,709
Net income (gross income less expenses)	2016-04-04	$-600,267
Net plan assets at end of year (total assets less liabilities)	2016-04-04	$0
Net plan assets at beginning of year (total assets less liabilities)	2016-04-04	$600,267
2014 : DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2014 401k financial data
Total income from all sources	2014-12-31	$187,212
Expenses. Total of all expenses incurred	2014-12-31	$136,802
Benefits paid (including direct rollovers)	2014-12-31	$129,320
Total plan assets at end of year	2014-12-31	$2,102,518
Total plan assets at beginning of year	2014-12-31	$2,052,108
Total contributions received or receivable from participants	2014-12-31	$47,393
Other income received	2014-12-31	$85,579
Net income (gross income less expenses)	2014-12-31	$50,410
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,102,518
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$2,052,108
Assets. Value of participant loans	2014-12-31	$11,579
Total contributions received or receivable from employer(s)	2014-12-31	$54,240
Value of corrective distributions	2014-12-31	$7,232
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$250
2013 : DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2013 401k financial data
Total income from all sources	2013-12-31	$312,658
Expenses. Total of all expenses incurred	2013-12-31	$100,131
Benefits paid (including direct rollovers)	2013-12-31	$99,856
Total plan assets at end of year	2013-12-31	$2,052,108
Total plan assets at beginning of year	2013-12-31	$1,839,581
Total contributions received or receivable from participants	2013-12-31	$41,128
Other income received	2013-12-31	$228,107
Net income (gross income less expenses)	2013-12-31	$212,527
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$2,052,108
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,839,581
Assets. Value of participant loans	2013-12-31	$28,819
Total contributions received or receivable from employer(s)	2013-12-31	$43,423
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$275
2012 : DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2012 401k financial data
Total income from all sources	2012-12-31	$216,476
Expenses. Total of all expenses incurred	2012-12-31	$27,779
Benefits paid (including direct rollovers)	2012-12-31	$27,579
Total plan assets at end of year	2012-12-31	$1,839,581
Total plan assets at beginning of year	2012-12-31	$1,650,884
Total contributions received or receivable from participants	2012-12-31	$40,346
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$128,376
Net income (gross income less expenses)	2012-12-31	$188,697
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,839,581
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,650,884
Assets. Value of participant loans	2012-12-31	$7,220
Total contributions received or receivable from employer(s)	2012-12-31	$47,754
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	$200
2011 : DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2011 401k financial data
Total income from all sources	2011-12-31	$4,047
Expenses. Total of all expenses incurred	2011-12-31	$83,394
Benefits paid (including direct rollovers)	2011-12-31	$83,244
Total plan assets at end of year	2011-12-31	$1,650,884
Total plan assets at beginning of year	2011-12-31	$1,730,231
Total contributions received or receivable from participants	2011-12-31	$38,410
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-83,096
Net income (gross income less expenses)	2011-12-31	$-79,347
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,650,884
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,730,231
Assets. Value of participant loans	2011-12-31	$8,941
Total contributions received or receivable from employer(s)	2011-12-31	$48,733
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$150
2010 : DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2010 401k financial data
Total income from all sources	2010-12-31	$262,821
Expenses. Total of all expenses incurred	2010-12-31	$665
Benefits paid (including direct rollovers)	2010-12-31	$540
Total plan assets at end of year	2010-12-31	$1,730,231
Total plan assets at beginning of year	2010-12-31	$1,468,075
Total contributions received or receivable from participants	2010-12-31	$38,296
Other income received	2010-12-31	$180,201
Net income (gross income less expenses)	2010-12-31	$262,156
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,730,231
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,468,075
Assets. Value of participant loans	2010-12-31	$10,838
Total contributions received or receivable from employer(s)	2010-12-31	$44,324
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$125

Form 5500 Responses for DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST

2016: DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2014: DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 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: DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 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: DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 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
2011: DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 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: DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 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: DERMATOLOGY & SKIN CANCER CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
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:	DERMATOLOGY & SKIN CANCER CLINIC, P.A.
Employer identification number (EIN):	751975315
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)