401k Plan data: CHILDREN'S CLINIC 401K PROFIT SHARING PLAN plan

CHILDREN'S CLINIC 401K PROFIT SHARING PLAN 401k Plan overview

Plan Name	CHILDREN'S CLINIC 401K PROFIT SHARING PLAN
Plan identification number	001

CHILDREN'S CLINIC 401K PROFIT SHARING PLAN 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
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.
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.

401k Sponsoring company profile

CHILDRENS CLINIC has sponsored the creation of one or more 401k plans.

Company Name: CHILDRENS CLINIC

Employer identification number (EIN): 952141811

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHILDREN'S CLINIC 401K PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2010-01-01 ALLISON YIM ALLISON YIM 2011-10-17

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2010-01-01	ALLISON YIM		ALLISON YIM	2011-10-17

Plan Statistics for CHILDREN'S CLINIC 401K PROFIT SHARING PLAN

401k plan membership statisitcs for CHILDREN'S CLINIC 401K PROFIT SHARING PLAN

Measure Date Value
2010: CHILDREN'S CLINIC 401K PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 13
Number of retired or separated participants receiving benefits 2010-01-01 1
Number of other retired or separated participants entitled to future benefits 2010-01-01 1
Total of all active and inactive participants 2010-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 15
Number of participants with account balances 2010-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0

Measure	Date	Value
2010: CHILDREN'S CLINIC 401K PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	13
Number of retired or separated participants receiving benefits	2010-01-01	1
Number of other retired or separated participants entitled to future benefits	2010-01-01	1
Total of all active and inactive participants	2010-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	15
Number of participants with account balances	2010-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0

Financial Data on CHILDREN'S CLINIC 401K PROFIT SHARING PLAN

Measure	Date	Value
2010 : CHILDREN'S CLINIC 401K PROFIT SHARING PLAN 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$156,865
Expenses. Total of all expenses incurred	2010-12-31	$28,314
Benefits paid (including direct rollovers)	2010-12-31	$28,314
Total plan assets at end of year	2010-12-31	$1,471,818
Total plan assets at beginning of year	2010-12-31	$1,343,267
Value of fidelity bond covering the plan	2010-12-31	$350,000
Total contributions received or receivable from participants	2010-12-31	$50,650
Assets. Value of loans (other than to participants)	2010-12-31	$164,832
Other income received	2010-12-31	$89,365
Net income (gross income less expenses)	2010-12-31	$128,551
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,471,818
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,343,267
Assets. Value of participant loans	2010-12-31	$13,827
Total contributions received or receivable from employer(s)	2010-12-31	$16,850
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0

Form 5500 Responses for CHILDREN'S CLINIC 401K PROFIT SHARING PLAN

2010: CHILDREN'S CLINIC 401K 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

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Company Name:	CHILDRENS CLINIC
Employer identification number (EIN):	952141811
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)