401k Plan data: HAROLD A. RODGERS M.D.,M.P.H., A SOLE PROPRIETOR PROFIT SHARING PLAN plan

HAROLD A. RODGERS M.D.,M.P.H., A SOLE PROPRIETOR PROFIT SHARING PLAN 401k Plan overview

Plan Name	HAROLD A. RODGERS M.D.,M.P.H., A SOLE PROPRIETOR PROFIT SHARING PLAN
Plan identification number	003

HAROLD A. RODGERS M.D.,M.P.H., A SOLE PROPRIETOR PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
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

HAROLD A. RODGERS M.D.,M.P.H., A SOLE PROPRIETOR has sponsored the creation of one or more 401k plans.

Company Name: HAROLD A. RODGERS M.D.,M.P.H., A SOLE PROPRIETOR

Employer identification number (EIN): 942837484

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HAROLD A. RODGERS M.D.,M.P.H., A SOLE PROPRIETOR PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2013-01-01
003 2012-01-01 HAROLD A. RODGERS, M.D., M.P.H. HAROLD A. RODGERS, M.D., M.P.H. 2013-06-12
003 2011-01-01 HAROLD A. RODGERS, M.D., M.P.H. HAROLD A. RODGERS, M.D., M.P.H. 2012-07-17
003 2010-01-01 HAROLD A. RODGERS, M.D., M.P.H. HAROLD A. RODGERS, M.D., M.P.H. 2011-05-24
003 2009-01-01 HAROLD A. RODGERS, M.D., M.P.H. HAROLD A. RODGERS, M.D., M.P.H. 2010-08-10

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
003	2013-01-01
003	2012-01-01	HAROLD A. RODGERS, M.D., M.P.H.	HAROLD A. RODGERS, M.D., M.P.H.	2013-06-12
003	2011-01-01	HAROLD A. RODGERS, M.D., M.P.H.	HAROLD A. RODGERS, M.D., M.P.H.	2012-07-17
003	2010-01-01	HAROLD A. RODGERS, M.D., M.P.H.	HAROLD A. RODGERS, M.D., M.P.H.	2011-05-24
003	2009-01-01	HAROLD A. RODGERS, M.D., M.P.H.	HAROLD A. RODGERS, M.D., M.P.H.	2010-08-10

Plan Statistics for HAROLD A. RODGERS M.D.,M.P.H., A SOLE PROPRIETOR PROFIT SHARING PLAN

401k plan membership statisitcs for HAROLD A. RODGERS M.D.,M.P.H., A SOLE PROPRIETOR PROFIT SHARING PLAN

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

Financial Data on HAROLD A. RODGERS M.D.,M.P.H., A SOLE PROPRIETOR PROFIT SHARING PLAN

Measure	Date	Value
2013 : HAROLD A. RODGERS M.D.,M.P.H., A SOLE PROPRIETOR PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$16,617
Expenses. Total of all expenses incurred	2013-12-31	$75,356
Benefits paid (including direct rollovers)	2013-12-31	$75,356
Total plan assets at end of year	2013-12-31	$0
Total plan assets at beginning of year	2013-12-31	$58,739
Other income received	2013-12-31	$16,617
Net income (gross income less expenses)	2013-12-31	$-58,739
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	$58,739
2012 : HAROLD A. RODGERS M.D.,M.P.H., A SOLE PROPRIETOR PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$74,821
Expenses. Total of all expenses incurred	2012-12-31	$1,569,466
Benefits paid (including direct rollovers)	2012-12-31	$1,569,466
Total plan assets at end of year	2012-12-31	$58,739
Total plan assets at beginning of year	2012-12-31	$1,553,384
Other income received	2012-12-31	$74,821
Net income (gross income less expenses)	2012-12-31	$-1,494,645
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$58,739
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,553,384
Assets. Value of assets in partnership/joint-venture interests	2012-12-31	$6,042
Total income from all sources	2012-09-30	$75,085
Expenses. Total of all expenses incurred	2012-09-30	$1,628,469
Benefits paid (including direct rollovers)	2012-09-30	$1,628,469
Total plan assets at end of year	2012-09-30	$0
Total plan assets at beginning of year	2012-09-30	$1,553,384
Other income received	2012-09-30	$75,085
Net income (gross income less expenses)	2012-09-30	$-1,553,384
Net plan assets at end of year (total assets less liabilities)	2012-09-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-09-30	$1,553,384
2011 : HAROLD A. RODGERS M.D.,M.P.H., A SOLE PROPRIETOR PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$78,710
Expenses. Total of all expenses incurred	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$1,553,384
Total plan assets at beginning of year	2011-12-31	$1,474,674
Total contributions received or receivable from participants	2011-12-31	$22,000
Other income received	2011-12-31	$13,402
Net income (gross income less expenses)	2011-12-31	$78,710
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,553,384
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,474,674
Assets. Value of assets in partnership/joint-venture interests	2011-12-31	$5,161
Total contributions received or receivable from employer(s)	2011-12-31	$43,308
2010 : HAROLD A. RODGERS M.D.,M.P.H., A SOLE PROPRIETOR PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$94,656
Expenses. Total of all expenses incurred	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$1,474,674
Total plan assets at beginning of year	2010-12-31	$1,380,018
Total contributions received or receivable from participants	2010-12-31	$22,000
Other income received	2010-12-31	$38,675
Net income (gross income less expenses)	2010-12-31	$94,656
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,474,674
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,380,018
Assets. Value of assets in partnership/joint-venture interests	2010-12-31	$5,340
Total contributions received or receivable from employer(s)	2010-12-31	$33,981

Form 5500 Responses for HAROLD A. RODGERS M.D.,M.P.H., A SOLE PROPRIETOR PROFIT SHARING PLAN

2013: HAROLD A. RODGERS M.D.,M.P.H., A SOLE PROPRIETOR 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: HAROLD A. RODGERS M.D.,M.P.H., A SOLE PROPRIETOR 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: HAROLD A. RODGERS M.D.,M.P.H., A SOLE PROPRIETOR 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: HAROLD A. RODGERS M.D.,M.P.H., A SOLE PROPRIETOR 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: HAROLD A. RODGERS M.D.,M.P.H., A SOLE PROPRIETOR 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:	HAROLD A. RODGERS M.D.,M.P.H., A SOLE PROPRIETOR
Employer identification number (EIN):	942837484
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)