401k Plan data: DAVID G. INGRAHAM, MD, PC PROFIT SHARING PLAN plan

DAVID G. INGRAHAM, MD, PC PROFIT SHARING PLAN 401k Plan overview

Plan Name	DAVID G. INGRAHAM, MD, PC PROFIT SHARING PLAN
Plan identification number	001

DAVID G. INGRAHAM, MD, PC 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. Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

DAVID G. INGRAHAM, MD, PC has sponsored the creation of one or more 401k plans.

Company Name: DAVID G. INGRAHAM, MD, PC

Employer identification number (EIN): 830345754

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DAVID G. INGRAHAM, MD, PC 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 DAVID GEORGE INGRAHAM
001 2012-01-01 DAVID GEORGE INGRAHAM
001 2011-01-01 DAVID GEORGE INGRAHAM
001 2010-01-01 DAVID GEORGE INGRAHAM
001 2009-01-01 DAVID GEORGE INGRAHAM

Plan id#	Filing Submission Date	Name of Administrator
001	2013-01-01	DAVID GEORGE INGRAHAM
001	2012-01-01	DAVID GEORGE INGRAHAM
001	2011-01-01	DAVID GEORGE INGRAHAM
001	2010-01-01	DAVID GEORGE INGRAHAM
001	2009-01-01	DAVID GEORGE INGRAHAM

Plan Statistics for DAVID G. INGRAHAM, MD, PC PROFIT SHARING PLAN

401k plan membership statisitcs for DAVID G. INGRAHAM, MD, PC PROFIT SHARING PLAN

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

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

Financial Data on DAVID G. INGRAHAM, MD, PC PROFIT SHARING PLAN

Measure	Date	Value
2013 : DAVID G. INGRAHAM, MD, PC PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$971
Expenses. Total of all expenses incurred	2013-12-31	$577,262
Benefits paid (including direct rollovers)	2013-12-31	$577,262
Total plan assets at end of year	2013-12-31	$0
Total plan assets at beginning of year	2013-12-31	$576,291
Other income received	2013-12-31	$971
Net income (gross income less expenses)	2013-12-31	$-576,291
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$576,291
2012 : DAVID G. INGRAHAM, MD, PC PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$58,451
Expenses. Total of all expenses incurred	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$576,291
Total plan assets at beginning of year	2012-12-31	$517,840
Contributions received from other sources (not participants or employers)	2012-12-31	$9,451
Net income (gross income less expenses)	2012-12-31	$58,451
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$576,291
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$517,840
Total contributions received or receivable from employer(s)	2012-12-31	$49,000
2011 : DAVID G. INGRAHAM, MD, PC PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$107,825
Expenses. Total of all expenses incurred	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$517,840
Total plan assets at beginning of year	2011-12-31	$410,015
Other income received	2011-12-31	$58,825
Net income (gross income less expenses)	2011-12-31	$107,825
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$517,840
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$410,015
Total contributions received or receivable from employer(s)	2011-12-31	$49,000
2010 : DAVID G. INGRAHAM, MD, PC PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$52,246
Expenses. Total of all expenses incurred	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$410,015
Total plan assets at beginning of year	2010-12-31	$357,769
Other income received	2010-12-31	$3,246
Net income (gross income less expenses)	2010-12-31	$52,246
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$410,015
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$357,769
Total contributions received or receivable from employer(s)	2010-12-31	$49,000

Form 5500 Responses for DAVID G. INGRAHAM, MD, PC PROFIT SHARING PLAN

2013: DAVID G. INGRAHAM, MD, PC 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)	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: DAVID G. INGRAHAM, MD, PC PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
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: DAVID G. INGRAHAM, MD, PC PROFIT SHARING PLAN 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: DAVID G. INGRAHAM, MD, PC 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: DAVID G. INGRAHAM, MD, PC 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:	DAVID G. INGRAHAM, MD, PC
Employer identification number (EIN):	830345754
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)