401k Plan data: MID-ROCKLAND MEDICAL GROUP PC PROFIT SHARING PLAN plan

MID-ROCKLAND MEDICAL GROUP PC PROFIT SHARING PLAN 401k Plan overview

Plan Name	MID-ROCKLAND MEDICAL GROUP PC PROFIT SHARING PLAN
Plan identification number	001

MID-ROCKLAND MEDICAL GROUP PC 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
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

MID-ROCKLAND MEDICAL GROUP, PC has sponsored the creation of one or more 401k plans.

Company Name: MID-ROCKLAND MEDICAL GROUP, PC

Employer identification number (EIN): 061613097

NAIC Classification: 621498
NAIC Description: All Other Outpatient Care Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MID-ROCKLAND MEDICAL GROUP PC PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 FRANK GARIGALI FRANK GARIGALI 2015-06-18
001 2013-01-01 THERESA TORRES
001 2011-01-01 PETER STRASSBERG 2012-10-15
001 2010-01-01 PETER STRASSBERG 2011-06-23

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2014-01-01	FRANK GARIGALI		FRANK GARIGALI	2015-06-18
001	2013-01-01	THERESA TORRES
001	2011-01-01	PETER STRASSBERG	2012-10-15
001	2010-01-01	PETER STRASSBERG	2011-06-23

Plan Statistics for MID-ROCKLAND MEDICAL GROUP PC PROFIT SHARING PLAN

401k plan membership statisitcs for MID-ROCKLAND MEDICAL GROUP PC PROFIT SHARING PLAN

Measure Date Value
2014: MID-ROCKLAND MEDICAL GROUP PC PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: MID-ROCKLAND MEDICAL GROUP PC PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 12
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 1
Total of all active and inactive participants 2013-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 13
Number of participants with account balances 2013-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0

Measure	Date	Value
2014: MID-ROCKLAND MEDICAL GROUP PC PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: MID-ROCKLAND MEDICAL GROUP PC PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	12
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	1
Total of all active and inactive participants	2013-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	13
Number of participants with account balances	2013-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0

Financial Data on MID-ROCKLAND MEDICAL GROUP PC PROFIT SHARING PLAN

Measure	Date	Value
2014 : MID-ROCKLAND MEDICAL GROUP PC PROFIT SHARING PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-09	$0
Total plan liabilities at end of year	2014-12-09	$0
Total plan liabilities at beginning of year	2014-12-09	$0
Total income from all sources	2014-12-09	$101,063
Expenses. Total of all expenses incurred	2014-12-09	$1,643,509
Benefits paid (including direct rollovers)	2014-12-09	$1,630,703
Total plan assets at end of year	2014-12-09	$0
Total plan assets at beginning of year	2014-12-09	$1,542,446
Value of fidelity bond covering the plan	2014-12-09	$265,000
Total contributions received or receivable from participants	2014-12-09	$58,719
Expenses. Other expenses not covered elsewhere	2014-12-09	$0
Contributions received from other sources (not participants or employers)	2014-12-09	$0
Other income received	2014-12-09	$25,155
Noncash contributions received	2014-12-09	$0
Net income (gross income less expenses)	2014-12-09	$-1,542,446
Net plan assets at end of year (total assets less liabilities)	2014-12-09	$0
Net plan assets at beginning of year (total assets less liabilities)	2014-12-09	$1,542,446
Assets. Value of participant loans	2014-12-09	$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2014-12-09	$0
Total contributions received or receivable from employer(s)	2014-12-09	$17,189
Value of certain deemed distributions of participant loans	2014-12-09	$10,162
Value of corrective distributions	2014-12-09	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-09	$2,644
2013 : MID-ROCKLAND MEDICAL GROUP PC 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	$259,281
Expenses. Total of all expenses incurred	2013-12-31	$11,173
Benefits paid (including direct rollovers)	2013-12-31	$12,500
Total plan assets at end of year	2013-12-31	$1,542,446
Total plan assets at beginning of year	2013-12-31	$1,294,338
Value of fidelity bond covering the plan	2013-12-31	$265,000
Total contributions received or receivable from participants	2013-12-31	$58,319
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	$200,962
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$248,108
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,542,446
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,294,338
Assets. Value of participant loans	2013-12-31	$11,571
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2013-12-31	$47,729
Total contributions received or receivable from employer(s)	2013-12-31	$0
Value of certain deemed distributions of participant loans	2013-12-31	$-4,093
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$2,766

Form 5500 Responses for MID-ROCKLAND MEDICAL GROUP PC PROFIT SHARING PLAN

2014: MID-ROCKLAND MEDICAL GROUP PC 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	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: MID-ROCKLAND MEDICAL GROUP PC 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

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Company Name:	MID-ROCKLAND MEDICAL GROUP, PC
Employer identification number (EIN):	061613097
NAIC Classification:	621498
NAIC Description:	All Other Outpatient Care Centers