401k Plan data: FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST plan

FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST 401k Plan overview

Plan Name	FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST
Plan identification number	001

FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST 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.

401k Sponsoring company profile

FREDERICK L. MANSFIELD, M.D., P.C. has sponsored the creation of one or more 401k plans.

Company Name: FREDERICK L. MANSFIELD, M.D., P.C.

Employer identification number (EIN): 042850999

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-02-01 FREDERICK L. MANSFIELD,M.D.,TRUSTEE
001 2013-02-01 FREDERICK L. MANSFIELD,M.D.,TRUSTEE
001 2012-02-01 FREDERICK L. MANSFIELD,M.D.,TRUSTEE
001 2011-02-01 FREDERICK L. MANSFIELD,M.D.,TRUSTEE
001 2010-02-01 FREDERICK L. MANSFIELD,M.D.,TRUSTEE
001 2009-02-01 FREDERICK L. MANSFIELD,M.D.,TRUSTEE

Plan id#	Filing Submission Date	Name of Administrator
001	2014-02-01	FREDERICK L. MANSFIELD,M.D.,TRUSTEE
001	2013-02-01	FREDERICK L. MANSFIELD,M.D.,TRUSTEE
001	2012-02-01	FREDERICK L. MANSFIELD,M.D.,TRUSTEE
001	2011-02-01	FREDERICK L. MANSFIELD,M.D.,TRUSTEE
001	2010-02-01	FREDERICK L. MANSFIELD,M.D.,TRUSTEE
001	2009-02-01	FREDERICK L. MANSFIELD,M.D.,TRUSTEE

Plan Statistics for FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST

401k plan membership statisitcs for FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST

Measure Date Value
2014: FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST 2014 401k membership
Total participants, beginning-of-year 2014-02-01 4
Total number of active participants reported on line 7a of the Form 5500 2014-02-01 0
Total of all active and inactive participants 2014-02-01 0
Total participants 2014-02-01 0
Number of participants with account balances 2014-02-01 0
2013: FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST 2013 401k membership
Total participants, beginning-of-year 2013-02-01 4
Total number of active participants reported on line 7a of the Form 5500 2013-02-01 3
Number of other retired or separated participants entitled to future benefits 2013-02-01 1
Total of all active and inactive participants 2013-02-01 4
Total participants 2013-02-01 4
Number of participants with account balances 2013-02-01 4
2012: FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST 2012 401k membership
Total participants, beginning-of-year 2012-02-01 4
Total number of active participants reported on line 7a of the Form 5500 2012-02-01 4
Total of all active and inactive participants 2012-02-01 4
Total participants 2012-02-01 4
Number of participants with account balances 2012-02-01 4
2011: FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST 2011 401k membership
Total participants, beginning-of-year 2011-02-01 4
Total number of active participants reported on line 7a of the Form 5500 2011-02-01 4
Total of all active and inactive participants 2011-02-01 4
Total participants 2011-02-01 4
Number of participants with account balances 2011-02-01 4
2010: FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST 2010 401k membership
Total participants, beginning-of-year 2010-02-01 4
Total number of active participants reported on line 7a of the Form 5500 2010-02-01 4
Total of all active and inactive participants 2010-02-01 4
Total participants 2010-02-01 4
Number of participants with account balances 2010-02-01 4
2009: FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST 2009 401k membership
Total participants, beginning-of-year 2009-02-01 4
Total number of active participants reported on line 7a of the Form 5500 2009-02-01 4
Total of all active and inactive participants 2009-02-01 4
Total participants 2009-02-01 4
Number of participants with account balances 2009-02-01 4

Measure	Date	Value
2014: FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST 2014 401k membership
Total participants, beginning-of-year	2014-02-01	4
Total number of active participants reported on line 7a of the Form 5500	2014-02-01	0
Total of all active and inactive participants	2014-02-01	0
Total participants	2014-02-01	0
Number of participants with account balances	2014-02-01	0
2013: FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST 2013 401k membership
Total participants, beginning-of-year	2013-02-01	4
Total number of active participants reported on line 7a of the Form 5500	2013-02-01	3
Number of other retired or separated participants entitled to future benefits	2013-02-01	1
Total of all active and inactive participants	2013-02-01	4
Total participants	2013-02-01	4
Number of participants with account balances	2013-02-01	4
2012: FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST 2012 401k membership
Total participants, beginning-of-year	2012-02-01	4
Total number of active participants reported on line 7a of the Form 5500	2012-02-01	4
Total of all active and inactive participants	2012-02-01	4
Total participants	2012-02-01	4
Number of participants with account balances	2012-02-01	4
2011: FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST 2011 401k membership
Total participants, beginning-of-year	2011-02-01	4
Total number of active participants reported on line 7a of the Form 5500	2011-02-01	4
Total of all active and inactive participants	2011-02-01	4
Total participants	2011-02-01	4
Number of participants with account balances	2011-02-01	4
2010: FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST 2010 401k membership
Total participants, beginning-of-year	2010-02-01	4
Total number of active participants reported on line 7a of the Form 5500	2010-02-01	4
Total of all active and inactive participants	2010-02-01	4
Total participants	2010-02-01	4
Number of participants with account balances	2010-02-01	4
2009: FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST 2009 401k membership
Total participants, beginning-of-year	2009-02-01	4
Total number of active participants reported on line 7a of the Form 5500	2009-02-01	4
Total of all active and inactive participants	2009-02-01	4
Total participants	2009-02-01	4
Number of participants with account balances	2009-02-01	4

Financial Data on FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST

Measure	Date	Value
2015 : FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST 2015 401k financial data
Total income from all sources	2015-01-31	$254,260
Expenses. Total of all expenses incurred	2015-01-31	$2,601,346
Benefits paid (including direct rollovers)	2015-01-31	$2,592,385
Total plan assets at end of year	2015-01-31	$0
Total plan assets at beginning of year	2015-01-31	$2,347,086
Other income received	2015-01-31	$254,260
Net income (gross income less expenses)	2015-01-31	$-2,347,086
Net plan assets at end of year (total assets less liabilities)	2015-01-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-01-31	$2,347,086
Expenses. Administrative service providers (salaries,fees and commissions)	2015-01-31	$8,961
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-01-31	$0
Funding deficiency by the employer to the plan for this plan year	2015-01-31	$0
Minimum employer required contribution for this plan year	2015-01-31	$0
Amount contributed by the employer to the plan for this plan year	2015-01-31	$0
2014 : FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST 2014 401k financial data
Total income from all sources	2014-01-31	$326,028
Expenses. Total of all expenses incurred	2014-01-31	$31,105
Benefits paid (including direct rollovers)	2014-01-31	$17,471
Total plan assets at end of year	2014-01-31	$2,347,086
Total plan assets at beginning of year	2014-01-31	$2,052,163
Value of fidelity bond covering the plan	2014-01-31	$500,000
Other income received	2014-01-31	$300,328
Net income (gross income less expenses)	2014-01-31	$294,923
Net plan assets at end of year (total assets less liabilities)	2014-01-31	$2,347,086
Net plan assets at beginning of year (total assets less liabilities)	2014-01-31	$2,052,163
Total contributions received or receivable from employer(s)	2014-01-31	$25,700
Expenses. Administrative service providers (salaries,fees and commissions)	2014-01-31	$13,634
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-01-31	$0
Funding deficiency by the employer to the plan for this plan year	2014-01-31	$0
Minimum employer required contribution for this plan year	2014-01-31	$25,700
Amount contributed by the employer to the plan for this plan year	2014-01-31	$25,700
2013 : FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST 2013 401k financial data
Total income from all sources	2013-01-31	$241,664
Expenses. Total of all expenses incurred	2013-01-31	$12,186
Total plan assets at end of year	2013-01-31	$2,052,163
Total plan assets at beginning of year	2013-01-31	$1,822,685
Value of fidelity bond covering the plan	2013-01-31	$500,000
Other income received	2013-01-31	$210,442
Net income (gross income less expenses)	2013-01-31	$229,478
Net plan assets at end of year (total assets less liabilities)	2013-01-31	$2,052,163
Net plan assets at beginning of year (total assets less liabilities)	2013-01-31	$1,822,685
Total contributions received or receivable from employer(s)	2013-01-31	$31,222
Expenses. Administrative service providers (salaries,fees and commissions)	2013-01-31	$12,186
Funding deficiency by the employer to the plan for this plan year	2013-01-31	$0
Minimum employer required contribution for this plan year	2013-01-31	$31,222
Amount contributed by the employer to the plan for this plan year	2013-01-31	$31,222
2012 : FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST 2012 401k financial data
Total income from all sources	2012-01-31	$131,200
Expenses. Total of all expenses incurred	2012-01-31	$10,860
Total plan assets at end of year	2012-01-31	$1,822,685
Total plan assets at beginning of year	2012-01-31	$1,702,345
Value of fidelity bond covering the plan	2012-01-31	$500,000
Other income received	2012-01-31	$100,409
Net income (gross income less expenses)	2012-01-31	$120,340
Net plan assets at end of year (total assets less liabilities)	2012-01-31	$1,822,685
Net plan assets at beginning of year (total assets less liabilities)	2012-01-31	$1,702,345
Total contributions received or receivable from employer(s)	2012-01-31	$30,791
Expenses. Administrative service providers (salaries,fees and commissions)	2012-01-31	$10,860
Funding deficiency by the employer to the plan for this plan year	2012-01-31	$0
Minimum employer required contribution for this plan year	2012-01-31	$30,791
Amount contributed by the employer to the plan for this plan year	2012-01-31	$30,791
2011 : FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST 2011 401k financial data
Total income from all sources	2011-01-31	$286,288
Expenses. Total of all expenses incurred	2011-01-31	$9,868
Total plan assets at end of year	2011-01-31	$1,702,345
Total plan assets at beginning of year	2011-01-31	$1,425,925
Value of fidelity bond covering the plan	2011-01-31	$250,000
Other income received	2011-01-31	$255,784
Net income (gross income less expenses)	2011-01-31	$276,420
Net plan assets at end of year (total assets less liabilities)	2011-01-31	$1,702,345
Net plan assets at beginning of year (total assets less liabilities)	2011-01-31	$1,425,925
Total contributions received or receivable from employer(s)	2011-01-31	$30,504
Expenses. Administrative service providers (salaries,fees and commissions)	2011-01-31	$9,868
Funding deficiency by the employer to the plan for this plan year	2011-01-31	$0
Minimum employer required contribution for this plan year	2011-01-31	$30,504
Amount contributed by the employer to the plan for this plan year	2011-01-31	$30,504
2010 : FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST 2010 401k financial data
Funding deficiency by the employer to the plan for this plan year	2010-01-31	$0
Minimum employer required contribution for this plan year	2010-01-31	$30,796
Amount contributed by the employer to the plan for this plan year	2010-01-31	$30,796

Form 5500 Responses for FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST

2014: FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST 2014 form 5500 responses
2014-02-01	Type of plan entity	Single employer plan
2014-02-01	This submission is the final filing	Yes
2014-02-01	Plan funding arrangement – Trust	Yes
2014-02-01	Plan benefit arrangement - Trust	Yes
2013: FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST 2013 form 5500 responses
2013-02-01	Type of plan entity	Single employer plan
2013-02-01	Plan funding arrangement – Trust	Yes
2013-02-01	Plan benefit arrangement - Trust	Yes
2012: FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST 2012 form 5500 responses
2012-02-01	Type of plan entity	Single employer plan
2012-02-01	Plan funding arrangement – Trust	Yes
2012-02-01	Plan benefit arrangement - Trust	Yes
2011: FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST 2011 form 5500 responses
2011-02-01	Type of plan entity	Single employer plan
2011-02-01	Plan funding arrangement – Trust	Yes
2011-02-01	Plan benefit arrangement - Trust	Yes
2010: FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST 2010 form 5500 responses
2010-02-01	Type of plan entity	Single employer plan
2010-02-01	Plan funding arrangement – Trust	Yes
2010-02-01	Plan benefit arrangement - Trust	Yes
2009: FREDERICK L. MANSFIELD, M.D., P.C. PENSION TRUST 2009 form 5500 responses
2009-02-01	Type of plan entity	Single employer plan
2009-02-01	This submission is the final filing	No
2009-02-01	Plan funding arrangement – Trust	Yes
2009-02-01	Plan benefit arrangement - Trust	Yes

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Company Name:	FREDERICK L. MANSFIELD, M.D., P.C.
Employer identification number (EIN):	042850999
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)