401k Plan data: RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB PLAN plan

RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB PLAN 401k Plan overview

Plan Name	RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB PLAN
Plan identification number	001

RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Money purchase (other than target benefit)
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

RICHARD A. FOULLON, M.D., INC. has sponsored the creation of one or more 401k plans.

Company Name: RICHARD A. FOULLON, M.D., INC.

Employer identification number (EIN): 953023652

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 RICHARD FOULLON MD
001 2013-01-01 RICHARD FOULLON MD
001 2012-01-01 RICHARD FOULLON MD
001 2011-01-01 RICHARD FOULLON MD
001 2010-01-01 RICHARD FOULLON MD
001 2009-01-01 RICHARD FOULLON MD

Plan id#	Filing Submission Date	Name of Administrator
001	2014-01-01	RICHARD FOULLON MD
001	2013-01-01	RICHARD FOULLON MD
001	2012-01-01	RICHARD FOULLON MD
001	2011-01-01	RICHARD FOULLON MD
001	2010-01-01	RICHARD FOULLON MD
001	2009-01-01	RICHARD FOULLON MD

Plan Statistics for RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB PLAN

401k plan membership statisitcs for RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB PLAN

Measure Date Value
2014: RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1
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 0
Total of all active and inactive participants 2014-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 1
Number of participants with account balances 2014-01-01 1
2013: RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB 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 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 1
Number of participants with account balances 2013-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB 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
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB 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: RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB 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: RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB 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
2014: RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1
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	0
Total of all active and inactive participants	2014-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	1
Number of participants with account balances	2014-01-01	1
2013: RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB 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	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	1
Number of participants with account balances	2013-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB 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
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB 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: RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB 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: RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB 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 RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB PLAN

Measure	Date	Value
2014 : RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB PLAN 2014 401k financial data
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$78,706
Expenses. Total of all expenses incurred	2014-12-31	$8,732
Benefits paid (including direct rollovers)	2014-12-31	$0
Total plan assets at end of year	2014-12-31	$1,226,851
Total plan assets at beginning of year	2014-12-31	$1,156,877
Value of fidelity bond covering the plan	2014-12-31	$225,000
Total contributions received or receivable from participants	2014-12-31	$0
Expenses. Other expenses not covered elsewhere	2014-12-31	$1,530
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$78,706
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$69,974
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,226,851
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,156,877
Assets. Value of assets in partnership/joint-venture interests	2014-12-31	$784
Total contributions received or receivable from employer(s)	2014-12-31	$0
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$7,202
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2014-12-31	$0
Minimum employer required contribution for this plan year	2014-12-31	$0
Amount contributed by the employer to the plan for this plan year	2014-12-31	$0
2013 : RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$-52,011
Expenses. Total of all expenses incurred	2013-12-31	$7,925
Benefits paid (including direct rollovers)	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$1,156,877
Total plan assets at beginning of year	2013-12-31	$1,216,813
Value of fidelity bond covering the plan	2013-12-31	$225,000
Total contributions received or receivable from participants	2013-12-31	$0
Assets. Value of loans (other than to participants)	2013-12-31	$1,500
Expenses. Other expenses not covered elsewhere	2013-12-31	$415
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$-52,011
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$-59,936
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,156,877
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,216,813
Assets. Value of assets in partnership/joint-venture interests	2013-12-31	$646
Total contributions received or receivable from employer(s)	2013-12-31	$0
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$7,510
Funding deficiency by the employer to the plan for this plan year	2013-12-31	$0
Minimum employer required contribution for this plan year	2013-12-31	$0
Amount contributed by the employer to the plan for this plan year	2013-12-31	$0
2012 : RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$7,325
Expenses. Total of all expenses incurred	2012-12-31	$2,448
Benefits paid (including direct rollovers)	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$1,216,813
Total plan assets at beginning of year	2012-12-31	$1,211,936
Value of fidelity bond covering the plan	2012-12-31	$225,000
Total contributions received or receivable from participants	2012-12-31	$0
Assets. Value of loans (other than to participants)	2012-12-31	$1,500
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$7,325
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$4,877
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,216,813
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,211,936
Assets. Value of participant loans	2012-12-31	$3,219
Assets. Value of assets in partnership/joint-venture interests	2012-12-31	$189,811
Total contributions received or receivable from employer(s)	2012-12-31	$0
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	$2,448
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2012-12-31	$0
Minimum employer required contribution for this plan year	2012-12-31	$0
Amount contributed by the employer to the plan for this plan year	2012-12-31	$0
2011 : RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB PLAN 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$-11,762
Expenses. Total of all expenses incurred	2011-12-31	$8,120
Benefits paid (including direct rollovers)	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$1,211,936
Total plan assets at beginning of year	2011-12-31	$1,231,818
Value of fidelity bond covering the plan	2011-12-31	$225,000
Total contributions received or receivable from participants	2011-12-31	$0
Assets. Value of loans (other than to participants)	2011-12-31	$10,000
Expenses. Other expenses not covered elsewhere	2011-12-31	$8,120
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-11,762
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$-19,882
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,211,936
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,231,818
Assets. Value of participant loans	2011-12-31	$9,970
Assets. Value of assets in partnership/joint-venture interests	2011-12-31	$384,182
Total contributions received or receivable from employer(s)	2011-12-31	$0
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	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$0
Amount contributed by the employer to the plan for this plan year	2011-12-31	$0
2010 : RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB 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	$64,495
Expenses. Total of all expenses incurred	2010-12-31	$7,810
Benefits paid (including direct rollovers)	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$1,231,818
Total plan assets at beginning of year	2010-12-31	$1,175,133
Value of fidelity bond covering the plan	2010-12-31	$225,000
Total contributions received or receivable from participants	2010-12-31	$0
Assets. Value of loans (other than to participants)	2010-12-31	$20,000
Expenses. Other expenses not covered elsewhere	2010-12-31	$170
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$64,495
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$56,685
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,231,818
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,175,133
Assets. Value of participant loans	2010-12-31	$16,729
Assets. Value of assets in partnership/joint-venture interests	2010-12-31	$166,236
Assets. Value of real-estate (other than employer real property)	2010-12-31	$225,000
Total contributions received or receivable from employer(s)	2010-12-31	$0
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	$7,640
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$0
Amount contributed by the employer to the plan for this plan year	2010-12-31	$0
2009 : RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2009-12-31	$0
Minimum employer required contribution for this plan year	2009-12-31	$0
Amount contributed by the employer to the plan for this plan year	2009-12-31	$0

Form 5500 Responses for RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB PLAN

2014: RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB PLAN 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: RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB 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	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: RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB PLAN 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: RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB 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: RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB 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: RICHARD A. FOULLON, M.D., INC. MPPP & HEALTH & DISAB 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:	RICHARD A. FOULLON, M.D., INC.
Employer identification number (EIN):	953023652
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)