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| Plan Name | DAVID J. IRVINE, M.D. 401(K) PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | DAVID J. IRVINE, M.D. |
| Employer identification number (EIN): | 930887784 |
| NAIC Classification: | 812990 |
| NAIC Description: | All Other Personal Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2020-01-01 | LOIS IRVINE | 2022-05-09 | ||
| 001 | 2019-01-01 | LOIS IRVINE | 2020-03-03 | ||
| 001 | 2018-01-01 | DAVIS IRVINE | 2019-03-04 | DAVIS IRVINE | 2019-03-04 |
| 001 | 2017-01-01 | LOIS IRVINE | 2018-03-03 | LOIS IRVINE | 2018-03-03 |
| 001 | 2016-01-01 | LOIS IRVINE | 2017-07-14 | LOIS IRVINE | 2017-07-14 |
| 001 | 2015-01-01 | LOIS IRVINE | 2016-03-24 | LOIS IRVINE | 2016-07-25 |
| 001 | 2014-01-01 | LOIS IRVINE | 2015-05-02 | LOIS IRVINE | 2015-06-01 |
| 001 | 2013-01-01 | LOIS IRVINE | 2014-06-04 | LOIS IRVINE | 2014-06-04 |
| 001 | 2012-01-01 | LOIS IRVINE | 2013-06-24 | LOIS IRVINE | 2013-06-24 |
| 001 | 2011-01-01 | LOIS IRVINE | 2012-09-06 | LOIS IRVINE | 2012-09-06 |
| 001 | 2010-01-01 | LOIS IRVINE | LOIS IRVINE | 2011-07-14 | |
| 001 | 2009-01-01 | LOIS IRVINE |
| Measure | Date | Value |
|---|---|---|
| 2010: DAVID J. IRVINE, M.D. 401(K) 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 | 5 |
| 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 | 5 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2010-01-01 | 0 |
| Total participants | 2010-01-01 | 5 |
| Number of participants with account balances | 2010-01-01 | 5 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2010-01-01 | 0 |
| 2009: DAVID J. IRVINE, M.D. 401(K) PROFIT SHARING PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 5 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 5 |
| 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 | 5 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-01-01 | 0 |
| Total participants | 2009-01-01 | 5 |
| Number of participants with account balances | 2009-01-01 | 5 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2009-01-01 | 0 |
| Measure | Date | Value |
|---|---|---|
| 2010 : DAVID J. IRVINE, M.D. 401(K) PROFIT SHARING PLAN 2010 401k financial data | ||
| Total income from all sources | 2010-12-31 | $130,225 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $0 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $0 |
| Total plan assets at end of year | 2010-12-31 | $565,391 |
| Total plan assets at beginning of year | 2010-12-31 | $435,166 |
| Value of fidelity bond covering the plan | 2010-12-31 | $50,000 |
| Total contributions received or receivable from participants | 2010-12-31 | $50,816 |
| Contributions received from other sources (not participants or employers) | 2010-12-31 | $0 |
| Other income received | 2010-12-31 | $64,620 |
| Net income (gross income less expenses) | 2010-12-31 | $130,225 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $565,391 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $435,166 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $14,789 |
| Value of certain deemed distributions of participant loans | 2010-12-31 | $0 |
| Value of corrective distributions | 2010-12-31 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2010-12-31 | $0 |
| 2010: DAVID J. IRVINE, M.D. 401(K) PROFIT SHARING PLAN 2010 form 5500 responses | ||
|---|---|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Submission has been amended | Yes |
| 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 – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: DAVID J. IRVINE, M.D. 401(K) 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 – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 939033 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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