401k Plan data: DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION PROFIT SHARING PLAN plan

DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION PROFIT SHARING PLAN 401k Plan overview

Plan Name	DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION PROFIT SHARING PLAN
Plan identification number	003

DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION 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.

401k Sponsoring company profile

DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION

Employer identification number (EIN): 953291841

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 B. KAMINSKY, M.D., A MEDICAL CORPORATION PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2014-01-01 DAVID KAMINSKY
003 2013-01-01 DAVID KAMINSKY
003 2012-01-01 DAVID KAMINSKY
003 2011-01-01 DAVID KAMINSKY

Plan id#	Filing Submission Date	Name of Administrator
003	2014-01-01	DAVID KAMINSKY
003	2013-01-01	DAVID KAMINSKY
003	2012-01-01	DAVID KAMINSKY
003	2011-01-01	DAVID KAMINSKY

Plan Statistics for DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION PROFIT SHARING PLAN

401k plan membership statisitcs for DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION PROFIT SHARING PLAN

Measure Date Value
2014: DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2
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 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 2
Number of participants with account balances 2014-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 5
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 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 5
Number of participants with account balances 2013-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 8
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 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 8
Number of participants with account balances 2012-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 6
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 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 6
Number of participants with account balances 2011-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2014: DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2
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	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	2
Number of participants with account balances	2014-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	5
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	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	5
Number of participants with account balances	2013-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	8
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	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	8
Number of participants with account balances	2012-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	6
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	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	6
Number of participants with account balances	2011-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION PROFIT SHARING PLAN

Measure	Date	Value
2014 : DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION PROFIT SHARING PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
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	$18,123
Expenses. Total of all expenses incurred	2014-12-31	$157,070
Benefits paid (including direct rollovers)	2014-12-31	$157,000
Total plan assets at end of year	2014-12-31	$452,649
Total plan assets at beginning of year	2014-12-31	$591,596
Assets. Value of tangible personal property	2014-12-31	$64,000
Total contributions received or receivable from participants	2014-12-31	$0
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$18,123
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$-138,947
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$452,649
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$591,596
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	$70
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
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	$80,327
Expenses. Total of all expenses incurred	2013-12-31	$112,020
Benefits paid (including direct rollovers)	2013-12-31	$111,990
Total plan assets at end of year	2013-12-31	$591,596
Total plan assets at beginning of year	2013-12-31	$623,289
Assets. Value of tangible personal property	2013-12-31	$64,000
Total contributions received or receivable from participants	2013-12-31	$0
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$80,327
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$-31,693
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$591,596
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$623,289
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	$30
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
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	$62,164
Expenses. Total of all expenses incurred	2012-12-31	$100,000
Benefits paid (including direct rollovers)	2012-12-31	$99,980
Total plan assets at end of year	2012-12-31	$623,289
Total plan assets at beginning of year	2012-12-31	$661,125
Assets. Value of tangible personal property	2012-12-31	$64,000
Total contributions received or receivable from participants	2012-12-31	$0
Expenses. Other expenses not covered elsewhere	2012-12-31	$20
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$62,164
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$-37,836
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$623,289
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$661,125
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	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
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	$-6,574
Expenses. Total of all expenses incurred	2011-12-31	$81,433
Benefits paid (including direct rollovers)	2011-12-31	$33,333
Total plan assets at end of year	2011-12-31	$661,125
Total plan assets at beginning of year	2011-12-31	$749,132
Assets. Value of tangible personal property	2011-12-31	$64,000
Total contributions received or receivable from participants	2011-12-31	$0
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-6,574
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$-88,007
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$661,125
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$749,132
Assets. Value of participant loans	2011-12-31	$0
Total contributions received or receivable from employer(s)	2011-12-31	$0
Value of certain deemed distributions of participant loans	2011-12-31	$48,000
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$100
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION PROFIT SHARING PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
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	$60,467
Expenses. Total of all expenses incurred	2010-12-31	$50,000
Benefits paid (including direct rollovers)	2010-12-31	$50,000
Total plan assets at end of year	2010-12-31	$749,132
Total plan assets at beginning of year	2010-12-31	$738,665
Assets. Value of tangible personal property	2010-12-31	$64,000
Total contributions received or receivable from participants	2010-12-31	$0
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$60,467
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$10,467
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$749,132
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$738,665
Assets. Value of participant loans	2010-12-31	$43,930
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	$0
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 DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION PROFIT SHARING PLAN

2014: DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION PROFIT SHARING 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: DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION 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	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: DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION PROFIT SHARING 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: DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION 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

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Company Name:	DAVID B. KAMINSKY, M.D., A MEDICAL CORPORATION
Employer identification number (EIN):	953291841
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)