401k Plan data: JOHN K. UOHARA, M.D., INC. PROFIT SHARING PLAN plan

JOHN K. UOHARA, M.D., INC. PROFIT SHARING PLAN 401k Plan overview

Plan Name	JOHN K. UOHARA, M.D., INC. PROFIT SHARING PLAN
Plan identification number	002

JOHN K. UOHARA, M.D., INC. 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

401k Sponsoring company profile

JOHN K. UOHARA, M.D., INC. has sponsored the creation of one or more 401k plans.

Company Name: JOHN K. UOHARA, M.D., INC.

Employer identification number (EIN): 990260435

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOHN K. UOHARA, M.D., INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2012-01-01 JOHN UOHARA
002 2011-01-01 JOHN UOHARA

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2012-01-01	JOHN UOHARA
002	2011-01-01	JOHN UOHARA

Plan Statistics for JOHN K. UOHARA, M.D., INC. PROFIT SHARING PLAN

401k plan membership statisitcs for JOHN K. UOHARA, M.D., INC. PROFIT SHARING PLAN

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

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

Financial Data on JOHN K. UOHARA, M.D., INC. PROFIT SHARING PLAN

Measure	Date	Value
2012 : JOHN K. UOHARA, M.D., INC. PROFIT SHARING 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	$40,111
Expenses. Total of all expenses incurred	2012-12-31	$165
Benefits paid (including direct rollovers)	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$941,134
Total plan assets at beginning of year	2012-12-31	$901,188
Value of fidelity bond covering the plan	2012-12-31	$300,000
Assets. Value of tangible personal property	2012-12-31	$115,000
Total contributions received or receivable from participants	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$26,111
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$39,946
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$941,134
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$901,188
Assets. Value of participant loans	2012-12-31	$997
Total contributions received or receivable from employer(s)	2012-12-31	$14,000
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	$165
2011 : JOHN K. UOHARA, M.D., INC. PROFIT SHARING 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	$-328,020
Expenses. Total of all expenses incurred	2011-12-31	$742
Benefits paid (including direct rollovers)	2011-12-31	$500
Total plan assets at end of year	2011-12-31	$901,188
Total plan assets at beginning of year	2011-12-31	$1,229,950
Value of fidelity bond covering the plan	2011-12-31	$300,000
Assets. Value of tangible personal property	2011-12-31	$115,000
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	$-358,620
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$-328,762
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$901,188
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,229,950
Assets. Value of participant loans	2011-12-31	$3,902
Total contributions received or receivable from employer(s)	2011-12-31	$30,600
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	$242
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0

Form 5500 Responses for JOHN K. UOHARA, M.D., INC. PROFIT SHARING PLAN

2012: JOHN K. UOHARA, M.D., INC. 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: JOHN K. UOHARA, M.D., INC. 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:	JOHN K. UOHARA, M.D., INC.
Employer identification number (EIN):	990260435
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)