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SANDRA R. PETERSEN, MD, A SOLE PROPRIETORSHIP 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameSANDRA R. PETERSEN, MD, A SOLE PROPRIETORSHIP 401(K) PROFIT SHARING PLAN
Plan identification number 001

SANDRA R. PETERSEN, MD, A SOLE PROPRIETORSHIP 401(K) PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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.

401k Sponsoring company profile

SANDRA R. PETERSEN, MD, A SOLE PROPRIETORSHIP has sponsored the creation of one or more 401k plans.

Company Name:SANDRA R. PETERSEN, MD, A SOLE PROPRIETORSHIP
Employer identification number (EIN):203994320
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SANDRA R. PETERSEN, MD, A SOLE PROPRIETORSHIP 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012018-01-01SANDRA R. PETERSEN2019-05-23 SANDRA R. PETERSEN2019-05-23
0012017-01-01SANDRA R. PETERSEN2018-02-07 SANDRA R. PETERSEN2018-02-07
0012016-01-01SANDRA R. PETERSEN2017-10-09 SANDRA R. PETERSEN2017-10-09
0012015-01-01SANDRA R. PETERSEN2016-10-13 SANDRA R. PETERSEN2016-10-13
0012014-01-01SANDRA R. PETERSEN2015-10-13 SANDRA R. PETERSEN2015-10-13
0012013-01-01SANDRA R. PETERSEN2014-07-14 SANDRA R. PETERSEN2014-07-14
0012012-01-01SANDRA R. PETERSEN2013-08-21 SANDRA R. PETERSEN2013-08-21
0012011-01-01SANDRA R. PETERSEN SANDRA R. PETERSEN2012-08-17
0012009-01-01SANDRA R. PETERSEN SANDRA R. PETERSEN2010-06-01

Plan Statistics for SANDRA R. PETERSEN, MD, A SOLE PROPRIETORSHIP 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for SANDRA R. PETERSEN, MD, A SOLE PROPRIETORSHIP 401(K) PROFIT SHARING PLAN

Measure Date Value
2011: SANDRA R. PETERSEN, MD, A SOLE PROPRIETORSHIP 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-016
Total number of active participants reported on line 7a of the Form 55002011-01-016
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-016
Number of participants with account balances2011-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: SANDRA R. PETERSEN, MD, A SOLE PROPRIETORSHIP 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-015
Total number of active participants reported on line 7a of the Form 55002009-01-014
Number of other retired or separated participants entitled to future benefits2009-01-011
Total of all active and inactive participants2009-01-015
Total participants2009-01-015
Number of participants with account balances2009-01-015

Financial Data on SANDRA R. PETERSEN, MD, A SOLE PROPRIETORSHIP 401(K) PROFIT SHARING PLAN

Measure Date Value
2011 : SANDRA R. PETERSEN, MD, A SOLE PROPRIETORSHIP 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$91,878
Expenses. Total of all expenses incurred2011-12-31$4,464
Total plan assets at end of year2011-12-31$536,657
Total plan assets at beginning of year2011-12-31$449,243
Total contributions received or receivable from participants2011-12-31$42,500
Other income received2011-12-31$3,995
Net income (gross income less expenses)2011-12-31$87,414
Net plan assets at end of year (total assets less liabilities)2011-12-31$536,657
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$449,243
Total contributions received or receivable from employer(s)2011-12-31$45,383
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$4,464
2010 : SANDRA R. PETERSEN, MD, A SOLE PROPRIETORSHIP 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$123,801
Expenses. Total of all expenses incurred2010-12-31$3,214
Total plan assets at end of year2010-12-31$449,243
Total plan assets at beginning of year2010-12-31$328,656
Total contributions received or receivable from participants2010-12-31$42,500
Other income received2010-12-31$38,281
Net income (gross income less expenses)2010-12-31$120,587
Net plan assets at end of year (total assets less liabilities)2010-12-31$449,243
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$328,656
Total contributions received or receivable from employer(s)2010-12-31$43,020
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$3,214

Form 5500 Responses for SANDRA R. PETERSEN, MD, A SOLE PROPRIETORSHIP 401(K) PROFIT SHARING PLAN

2011: SANDRA R. PETERSEN, MD, A SOLE PROPRIETORSHIP 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2009: SANDRA R. PETERSEN, MD, A SOLE PROPRIETORSHIP 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

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