401k Plan data: ROBERT HUIZENGA, A MEDICAL CORP. PROFIT SHARING PLAN plan

ROBERT HUIZENGA, A MEDICAL CORP. PROFIT SHARING PLAN 401k Plan overview

Plan Name	ROBERT HUIZENGA, A MEDICAL CORP. PROFIT SHARING PLAN
Plan identification number	002

ROBERT HUIZENGA, A MEDICAL CORP. 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
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

ROBERT HUIZENGA, A MEDICAL CORP. has sponsored the creation of one or more 401k plans.

Company Name: ROBERT HUIZENGA, A MEDICAL CORP.

Employer identification number (EIN): 954052411

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROBERT HUIZENGA, A MEDICAL CORP. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2017-01-01
002 2016-01-01
002 2015-01-01
002 2014-01-01 ROBERT HUIZENGA
002 2013-01-01 ROBERT HUIZENGA
002 2012-01-01 ROBERT HUIZENGA
002 2011-01-01 ROBERT HUIZENGA 2012-10-13
002 2010-01-01 ROBERT HUIZENGA 2011-10-15

Plan Statistics for ROBERT HUIZENGA, A MEDICAL CORP. PROFIT SHARING PLAN

401k plan membership statisitcs for ROBERT HUIZENGA, A MEDICAL CORP. PROFIT SHARING PLAN

Measure Date Value
2014: ROBERT HUIZENGA, A MEDICAL CORP. 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 4
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 2
Total of all active and inactive participants 2014-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 6
Number of participants with account balances 2014-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: ROBERT HUIZENGA, A MEDICAL CORP. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 4
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 2
Total of all active and inactive participants 2013-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 6
Number of participants with account balances 2013-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: ROBERT HUIZENGA, A MEDICAL CORP. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 3
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 2
Total of all active and inactive participants 2012-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 5
Number of participants with account balances 2012-01-01 5

Measure	Date	Value
2014: ROBERT HUIZENGA, A MEDICAL CORP. 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	4
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	2
Total of all active and inactive participants	2014-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	6
Number of participants with account balances	2014-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: ROBERT HUIZENGA, A MEDICAL CORP. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	4
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	2
Total of all active and inactive participants	2013-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	6
Number of participants with account balances	2013-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: ROBERT HUIZENGA, A MEDICAL CORP. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	3
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	2
Total of all active and inactive participants	2012-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	5
Number of participants with account balances	2012-01-01	5

Financial Data on ROBERT HUIZENGA, A MEDICAL CORP. PROFIT SHARING PLAN

Measure	Date	Value
2014 : ROBERT HUIZENGA, A MEDICAL CORP. PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$62,140
Expenses. Total of all expenses incurred	2014-12-31	$0
Total plan assets at end of year	2014-12-31	$168,105
Total plan assets at beginning of year	2014-12-31	$105,965
Value of fidelity bond covering the plan	2014-12-31	$500,000
Other income received	2014-12-31	$1,080
Net income (gross income less expenses)	2014-12-31	$62,140
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$168,105
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$105,965
Assets. Value of real-estate (other than employer real property)	2014-12-31	$0
Total contributions received or receivable from employer(s)	2014-12-31	$61,060
2013 : ROBERT HUIZENGA, A MEDICAL CORP. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$68,411
Expenses. Total of all expenses incurred	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$105,965
Total plan assets at beginning of year	2013-12-31	$37,554
Value of fidelity bond covering the plan	2013-12-31	$500,000
Other income received	2013-12-31	$5,023
Net income (gross income less expenses)	2013-12-31	$68,411
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$105,965
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$37,554
Assets. Value of real-estate (other than employer real property)	2013-12-31	$14,634
Total contributions received or receivable from employer(s)	2013-12-31	$63,388
2012 : ROBERT HUIZENGA, A MEDICAL CORP. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$11,938
Expenses. Total of all expenses incurred	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$37,554
Total plan assets at beginning of year	2012-12-31	$25,616
Other income received	2012-12-31	$738
Net income (gross income less expenses)	2012-12-31	$11,938
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$37,554
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$25,616
Assets. Value of real-estate (other than employer real property)	2012-12-31	$20,429
Total contributions received or receivable from employer(s)	2012-12-31	$11,200

Form 5500 Responses for ROBERT HUIZENGA, A MEDICAL CORP. PROFIT SHARING PLAN

2014: ROBERT HUIZENGA, A MEDICAL CORP. 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: ROBERT HUIZENGA, A MEDICAL CORP. 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: ROBERT HUIZENGA, A MEDICAL CORP. 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

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Company Name:	ROBERT HUIZENGA, A MEDICAL CORP.
Employer identification number (EIN):	954052411
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2017-01-01
002	2016-01-01
002	2015-01-01
002	2014-01-01	ROBERT HUIZENGA
002	2013-01-01	ROBERT HUIZENGA
002	2012-01-01	ROBERT HUIZENGA
002	2011-01-01	ROBERT HUIZENGA	2012-10-13
002	2010-01-01	ROBERT HUIZENGA	2011-10-15