401k Plan data: KENNY E. STALL, M.D. PROFIT SHARING PLAN plan

KENNY E. STALL, M.D. PROFIT SHARING PLAN 401k Plan overview

Plan Name	KENNY E. STALL, M.D. PROFIT SHARING PLAN
Plan identification number	001

KENNY E. STALL, M.D. PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
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.
Plan covering Self-Employed individuals.
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

KENNY E. STALL, M.D. has sponsored the creation of one or more 401k plans.

Company Name: KENNY E. STALL, M.D.

Employer identification number (EIN): 351756908

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KENNY E. STALL, M.D. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 JANICE K. FITZHARRIS, TRUSTEE JANICE K. FITZHARRIS, TRUSTEE 2016-07-21
001 2014-01-01 KENNY E. STALL, M.D. KENNY E. STALL, M.D. 2015-09-11
001 2013-01-01 KENNY E. STALL, M.D. KENNY E. STALL, M.D. 2014-08-16
001 2012-01-01 KENNY E. STALL, M.D. KENNY E. STALL, M.D. 2013-08-27
001 2011-01-01 KENNY E. STALL, M.D. KENNY E. STALL, M.D. 2012-10-02
001 2009-01-01 KENNY E. STALL, M.D. KENNY E. STALL, M.D. 2010-08-23

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2015-01-01	JANICE K. FITZHARRIS, TRUSTEE	JANICE K. FITZHARRIS, TRUSTEE	2016-07-21
001	2014-01-01	KENNY E. STALL, M.D.	KENNY E. STALL, M.D.	2015-09-11
001	2013-01-01	KENNY E. STALL, M.D.	KENNY E. STALL, M.D.	2014-08-16
001	2012-01-01	KENNY E. STALL, M.D.	KENNY E. STALL, M.D.	2013-08-27
001	2011-01-01	KENNY E. STALL, M.D.	KENNY E. STALL, M.D.	2012-10-02
001	2009-01-01	KENNY E. STALL, M.D.	KENNY E. STALL, M.D.	2010-08-23

Plan Statistics for KENNY E. STALL, M.D. PROFIT SHARING PLAN

401k plan membership statisitcs for KENNY E. STALL, M.D. PROFIT SHARING PLAN

Measure Date Value
2015: KENNY E. STALL, M.D. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: KENNY E. STALL, M.D. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 4
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 1
Total of all active and inactive participants 2014-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 5
Number of participants with account balances 2014-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: KENNY E. STALL, M.D. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 4
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 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 5
Number of participants with account balances 2013-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: KENNY E. STALL, M.D. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 4
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 1
Total of all active and inactive participants 2012-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 5
Number of participants with account balances 2012-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: KENNY E. STALL, M.D. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 4
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 1
Total of all active and inactive participants 2011-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 5
Number of participants with account balances 2011-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: KENNY E. STALL, M.D. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 5
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 1
Total of all active and inactive participants 2009-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 6
Number of participants with account balances 2009-01-01 6

Measure	Date	Value
2015: KENNY E. STALL, M.D. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: KENNY E. STALL, M.D. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	4
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	1
Total of all active and inactive participants	2014-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	5
Number of participants with account balances	2014-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: KENNY E. STALL, M.D. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	4
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	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	5
Number of participants with account balances	2013-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: KENNY E. STALL, M.D. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	4
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	1
Total of all active and inactive participants	2012-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	5
Number of participants with account balances	2012-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: KENNY E. STALL, M.D. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	4
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	1
Total of all active and inactive participants	2011-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	5
Number of participants with account balances	2011-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: KENNY E. STALL, M.D. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	5
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	1
Total of all active and inactive participants	2009-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	6
Number of participants with account balances	2009-01-01	6

Financial Data on KENNY E. STALL, M.D. PROFIT SHARING PLAN

Measure	Date	Value
2015 : KENNY E. STALL, M.D. PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$421,959
Expenses. Total of all expenses incurred	2015-12-31	$2,398,805
Benefits paid (including direct rollovers)	2015-12-31	$2,398,805
Total plan assets at end of year	2015-12-31	$0
Total plan assets at beginning of year	2015-12-31	$1,976,846
Total contributions received or receivable from participants	2015-12-31	$25,150
Other income received	2015-12-31	$362,239
Net income (gross income less expenses)	2015-12-31	$-1,976,846
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,976,846
Total contributions received or receivable from employer(s)	2015-12-31	$34,570
2014 : KENNY E. STALL, M.D. PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$178,602
Total plan assets at end of year	2014-12-31	$1,976,846
Total plan assets at beginning of year	2014-12-31	$1,798,244
Total contributions received or receivable from participants	2014-12-31	$24,300
Other income received	2014-12-31	$111,043
Net income (gross income less expenses)	2014-12-31	$178,602
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,976,846
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,798,244
Total contributions received or receivable from employer(s)	2014-12-31	$43,259
2013 : KENNY E. STALL, M.D. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$280,749
Total plan assets at end of year	2013-12-31	$1,798,244
Total plan assets at beginning of year	2013-12-31	$1,517,495
Total contributions received or receivable from participants	2013-12-31	$24,300
Other income received	2013-12-31	$214,104
Net income (gross income less expenses)	2013-12-31	$280,749
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,798,244
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,517,495
Total contributions received or receivable from employer(s)	2013-12-31	$42,345
2012 : KENNY E. STALL, M.D. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$233,726
Expenses. Total of all expenses incurred	2012-12-31	$13,595
Total plan assets at end of year	2012-12-31	$1,517,495
Total plan assets at beginning of year	2012-12-31	$1,297,364
Total contributions received or receivable from participants	2012-12-31	$23,800
Other income received	2012-12-31	$168,195
Net income (gross income less expenses)	2012-12-31	$220,131
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,517,495
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,297,364
Total contributions received or receivable from employer(s)	2012-12-31	$41,731
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$13,595
2011 : KENNY E. STALL, M.D. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$103,604
Expenses. Total of all expenses incurred	2011-12-31	$3,609
Benefits paid (including direct rollovers)	2011-12-31	$3,609
Total plan assets at end of year	2011-12-31	$1,297,364
Total plan assets at beginning of year	2011-12-31	$1,197,369
Total contributions received or receivable from participants	2011-12-31	$22,650
Other income received	2011-12-31	$39,535
Net income (gross income less expenses)	2011-12-31	$99,995
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,297,364
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,197,369
Total contributions received or receivable from employer(s)	2011-12-31	$41,419
2010 : KENNY E. STALL, M.D. PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$167,134
Total plan assets at end of year	2010-12-31	$1,197,369
Total plan assets at beginning of year	2010-12-31	$1,030,235
Total contributions received or receivable from participants	2010-12-31	$22,650
Other income received	2010-12-31	$103,200
Net income (gross income less expenses)	2010-12-31	$167,134
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,197,369
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,030,235
Total contributions received or receivable from employer(s)	2010-12-31	$41,284

Form 5500 Responses for KENNY E. STALL, M.D. PROFIT SHARING PLAN

2015: KENNY E. STALL, M.D. PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	This submission is the final filing	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: KENNY E. STALL, M.D. PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: KENNY E. STALL, M.D. PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: KENNY E. STALL, M.D. PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: KENNY E. STALL, M.D. PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: KENNY E. STALL, M.D. PROFIT SHARING 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

Potentially related plans

KENNY E. SMITH, M.D., P.C. PROFIT-SHARING PLAN [EIN = 631134263]

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Company Name:	KENNY E. STALL, M.D.
Employer identification number (EIN):	351756908
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)