401k Plan data: BHARATI NARASIMHAN M.D. US BANK N.A. CUSTODIAL PLAN plan

BHARATI NARASIMHAN M.D. US BANK N.A. CUSTODIAL PLAN 401k Plan overview

Plan Name	BHARATI NARASIMHAN M.D. US BANK N.A. CUSTODIAL PLAN
Plan identification number	001

BHARATI NARASIMHAN M.D. US BANK N.A. CUSTODIAL PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing Plan covering Self-Employed individuals.

401k Sponsoring company profile

BHARATI NARASIMHAN M.D. has sponsored the creation of one or more 401k plans.

Company Name: BHARATI NARASIMHAN M.D.

Employer identification number (EIN): 311303215

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BHARATI NARASIMHAN M.D. US BANK N.A. CUSTODIAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2011-01-01 BHARATI NARASIMHAN
001 2010-01-01 BHARATI NARASIMHAN
001 2009-01-01 BHARATI NARASIMHAN

Plan id#	Filing Submission Date	Name of Administrator
001	2011-01-01	BHARATI NARASIMHAN
001	2010-01-01	BHARATI NARASIMHAN
001	2009-01-01	BHARATI NARASIMHAN

Plan Statistics for BHARATI NARASIMHAN M.D. US BANK N.A. CUSTODIAL PLAN

401k plan membership statisitcs for BHARATI NARASIMHAN M.D. US BANK N.A. CUSTODIAL PLAN

Measure Date Value
2011: BHARATI NARASIMHAN M.D. US BANK N.A. CUSTODIAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2
Total of all active and inactive participants 2011-01-01 0
Total participants 2011-01-01 0
2010: BHARATI NARASIMHAN M.D. US BANK N.A. CUSTODIAL PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 2
Total of all active and inactive participants 2010-01-01 2
Total participants 2010-01-01 2
Number of participants with account balances 2010-01-01 2
2009: BHARATI NARASIMHAN M.D. US BANK N.A. CUSTODIAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2
Total of all active and inactive participants 2009-01-01 2
Total participants 2009-01-01 2
Number of participants with account balances 2009-01-01 2

Measure	Date	Value
2011: BHARATI NARASIMHAN M.D. US BANK N.A. CUSTODIAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2
Total of all active and inactive participants	2011-01-01	0
Total participants	2011-01-01	0
2010: BHARATI NARASIMHAN M.D. US BANK N.A. CUSTODIAL PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	2
Total of all active and inactive participants	2010-01-01	2
Total participants	2010-01-01	2
Number of participants with account balances	2010-01-01	2
2009: BHARATI NARASIMHAN M.D. US BANK N.A. CUSTODIAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2
Total of all active and inactive participants	2009-01-01	2
Total participants	2009-01-01	2
Number of participants with account balances	2009-01-01	2

Financial Data on BHARATI NARASIMHAN M.D. US BANK N.A. CUSTODIAL PLAN

Measure	Date	Value
2011 : BHARATI NARASIMHAN M.D. US BANK N.A. CUSTODIAL PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$7,376
Expenses. Total of all expenses incurred	2011-12-31	$1,263,109
Benefits paid (including direct rollovers)	2011-12-31	$1,250,857
Total plan assets at end of year	2011-12-31	$0
Total plan assets at beginning of year	2011-12-31	$1,255,733
Value of fidelity bond covering the plan	2011-12-31	$100,000
Expenses. Other expenses not covered elsewhere	2011-12-31	$12,252
Other income received	2011-12-31	$7,376
Net income (gross income less expenses)	2011-12-31	$-1,255,733
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,255,733
2010 : BHARATI NARASIMHAN M.D. US BANK N.A. CUSTODIAL PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$96,407
Expenses. Total of all expenses incurred	2010-12-31	$8,695
Total plan assets at end of year	2010-12-31	$1,255,733
Total plan assets at beginning of year	2010-12-31	$1,168,021
Value of fidelity bond covering the plan	2010-12-31	$100,000
Expenses. Other expenses not covered elsewhere	2010-12-31	$8,695
Other income received	2010-12-31	$75,976
Net income (gross income less expenses)	2010-12-31	$87,712
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,255,733
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,168,021
Total contributions received or receivable from employer(s)	2010-12-31	$20,431

Form 5500 Responses for BHARATI NARASIMHAN M.D. US BANK N.A. CUSTODIAL PLAN

2011: BHARATI NARASIMHAN M.D. US BANK N.A. CUSTODIAL PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	This submission is the final filing	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: BHARATI NARASIMHAN M.D. US BANK N.A. CUSTODIAL PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: BHARATI NARASIMHAN M.D. US BANK N.A. CUSTODIAL PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	BHARATI NARASIMHAN M.D.
Employer identification number (EIN):	311303215
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)