401k Plan data: SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST plan

SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan Name	SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST
Plan identification number	003

SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing

401k Sponsoring company profile

SAROJ K. VERMA, M.D., S.C. has sponsored the creation of one or more 401k plans.

Company Name: SAROJ K. VERMA, M.D., S.C.

Employer identification number (EIN): 362917911

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2015-06-01 SAROJ K. VERMA, M.D. SAROJ K. VERMA, M.D. 2016-06-14
003 2014-06-01 SAROJ K. VERMA
003 2013-06-01 SAROJ K. VERMA
003 2012-06-01 SAROJ K. VERMA
003 2011-06-01 SAROJ K. VERMA
003 2010-06-01 SAROJ K. VERMA
003 2009-06-01 SAROJ K. VERMA, MD

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
003	2015-06-01	SAROJ K. VERMA, M.D.	SAROJ K. VERMA, M.D.	2016-06-14
003	2014-06-01	SAROJ K. VERMA
003	2013-06-01	SAROJ K. VERMA
003	2012-06-01	SAROJ K. VERMA
003	2011-06-01	SAROJ K. VERMA
003	2010-06-01	SAROJ K. VERMA
003	2009-06-01	SAROJ K. VERMA, MD

Plan Statistics for SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST

Measure Date Value
2015: SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year 2015-06-01 12
Total number of active participants reported on line 7a of the Form 5500 2015-06-01 0
Number of retired or separated participants receiving benefits 2015-06-01 0
Number of other retired or separated participants entitled to future benefits 2015-06-01 0
Total of all active and inactive participants 2015-06-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-06-01 0
Total participants 2015-06-01 0
Number of participants with account balances 2015-06-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-06-01 0
2014: SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year 2014-06-01 12
Total number of active participants reported on line 7a of the Form 5500 2014-06-01 12
Number of retired or separated participants receiving benefits 2014-06-01 0
Number of other retired or separated participants entitled to future benefits 2014-06-01 0
Total of all active and inactive participants 2014-06-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-06-01 0
Total participants 2014-06-01 12
Number of participants with account balances 2014-06-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-06-01 0
2013: SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year 2013-06-01 12
Total number of active participants reported on line 7a of the Form 5500 2013-06-01 12
Number of retired or separated participants receiving benefits 2013-06-01 0
Number of other retired or separated participants entitled to future benefits 2013-06-01 0
Total of all active and inactive participants 2013-06-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-06-01 0
Total participants 2013-06-01 12
Number of participants with account balances 2013-06-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-06-01 0
2012: SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year 2012-06-01 12
Total number of active participants reported on line 7a of the Form 5500 2012-06-01 12
Number of retired or separated participants receiving benefits 2012-06-01 0
Number of other retired or separated participants entitled to future benefits 2012-06-01 0
Total of all active and inactive participants 2012-06-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-06-01 0
Total participants 2012-06-01 12
Number of participants with account balances 2012-06-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-06-01 0
2011: SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year 2011-06-01 12
Total number of active participants reported on line 7a of the Form 5500 2011-06-01 12
Number of retired or separated participants receiving benefits 2011-06-01 0
Number of other retired or separated participants entitled to future benefits 2011-06-01 0
Total of all active and inactive participants 2011-06-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-06-01 0
Total participants 2011-06-01 12
Number of participants with account balances 2011-06-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-06-01 0
2010: SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year 2010-06-01 12
Total number of active participants reported on line 7a of the Form 5500 2010-06-01 12
Number of retired or separated participants receiving benefits 2010-06-01 0
Number of other retired or separated participants entitled to future benefits 2010-06-01 0
Total of all active and inactive participants 2010-06-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-06-01 0
Total participants 2010-06-01 12
Number of participants with account balances 2010-06-01 12
2009: SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year 2009-06-01 12
Total number of active participants reported on line 7a of the Form 5500 2009-06-01 7
Number of retired or separated participants receiving benefits 2009-06-01 0
Number of other retired or separated participants entitled to future benefits 2009-06-01 5
Total of all active and inactive participants 2009-06-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-06-01 0
Total participants 2009-06-01 12
Number of participants with account balances 2009-06-01 12

Measure	Date	Value
2015: SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year	2015-06-01	12
Total number of active participants reported on line 7a of the Form 5500	2015-06-01	0
Number of retired or separated participants receiving benefits	2015-06-01	0
Number of other retired or separated participants entitled to future benefits	2015-06-01	0
Total of all active and inactive participants	2015-06-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-06-01	0
Total participants	2015-06-01	0
Number of participants with account balances	2015-06-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-06-01	0
2014: SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year	2014-06-01	12
Total number of active participants reported on line 7a of the Form 5500	2014-06-01	12
Number of retired or separated participants receiving benefits	2014-06-01	0
Number of other retired or separated participants entitled to future benefits	2014-06-01	0
Total of all active and inactive participants	2014-06-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-06-01	0
Total participants	2014-06-01	12
Number of participants with account balances	2014-06-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-06-01	0
2013: SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year	2013-06-01	12
Total number of active participants reported on line 7a of the Form 5500	2013-06-01	12
Number of retired or separated participants receiving benefits	2013-06-01	0
Number of other retired or separated participants entitled to future benefits	2013-06-01	0
Total of all active and inactive participants	2013-06-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-06-01	0
Total participants	2013-06-01	12
Number of participants with account balances	2013-06-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-06-01	0
2012: SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year	2012-06-01	12
Total number of active participants reported on line 7a of the Form 5500	2012-06-01	12
Number of retired or separated participants receiving benefits	2012-06-01	0
Number of other retired or separated participants entitled to future benefits	2012-06-01	0
Total of all active and inactive participants	2012-06-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-06-01	0
Total participants	2012-06-01	12
Number of participants with account balances	2012-06-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-06-01	0
2011: SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-06-01	12
Total number of active participants reported on line 7a of the Form 5500	2011-06-01	12
Number of retired or separated participants receiving benefits	2011-06-01	0
Number of other retired or separated participants entitled to future benefits	2011-06-01	0
Total of all active and inactive participants	2011-06-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-06-01	0
Total participants	2011-06-01	12
Number of participants with account balances	2011-06-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-06-01	0
2010: SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year	2010-06-01	12
Total number of active participants reported on line 7a of the Form 5500	2010-06-01	12
Number of retired or separated participants receiving benefits	2010-06-01	0
Number of other retired or separated participants entitled to future benefits	2010-06-01	0
Total of all active and inactive participants	2010-06-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-06-01	0
Total participants	2010-06-01	12
Number of participants with account balances	2010-06-01	12
2009: SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year	2009-06-01	12
Total number of active participants reported on line 7a of the Form 5500	2009-06-01	7
Number of retired or separated participants receiving benefits	2009-06-01	0
Number of other retired or separated participants entitled to future benefits	2009-06-01	5
Total of all active and inactive participants	2009-06-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-06-01	0
Total participants	2009-06-01	12
Number of participants with account balances	2009-06-01	12

Financial Data on SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST

Measure	Date	Value
2016 : SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2016 401k financial data
Total income from all sources	2016-05-31	$27,236
Expenses. Total of all expenses incurred	2016-05-31	$5,195,787
Benefits paid (including direct rollovers)	2016-05-31	$5,195,787
Total plan assets at end of year	2016-05-31	$0
Total plan assets at beginning of year	2016-05-31	$5,168,551
Value of fidelity bond covering the plan	2016-05-31	$500,000
Other income received	2016-05-31	$27,236
Net income (gross income less expenses)	2016-05-31	$-5,168,551
Net plan assets at end of year (total assets less liabilities)	2016-05-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2016-05-31	$5,168,551
2015 : SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2015 401k financial data
Total income from all sources	2015-05-31	$315,981
Expenses. Total of all expenses incurred	2015-05-31	$176,580
Benefits paid (including direct rollovers)	2015-05-31	$176,580
Total plan assets at end of year	2015-05-31	$5,168,551
Total plan assets at beginning of year	2015-05-31	$5,029,150
Value of fidelity bond covering the plan	2015-05-31	$500,000
Other income received	2015-05-31	$315,981
Net income (gross income less expenses)	2015-05-31	$139,401
Net plan assets at end of year (total assets less liabilities)	2015-05-31	$5,168,551
Net plan assets at beginning of year (total assets less liabilities)	2015-05-31	$5,029,150
2014 : SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2014 401k financial data
Total income from all sources	2014-05-31	$432,724
Total plan assets at end of year	2014-05-31	$5,029,150
Total plan assets at beginning of year	2014-05-31	$4,596,426
Value of fidelity bond covering the plan	2014-05-31	$500,000
Other income received	2014-05-31	$432,724
Net income (gross income less expenses)	2014-05-31	$432,724
Net plan assets at end of year (total assets less liabilities)	2014-05-31	$5,029,150
Net plan assets at beginning of year (total assets less liabilities)	2014-05-31	$4,596,426
2013 : SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2013 401k financial data
Total income from all sources	2013-05-31	$543,076
Total plan assets at end of year	2013-05-31	$4,596,426
Total plan assets at beginning of year	2013-05-31	$4,053,350
Value of fidelity bond covering the plan	2013-05-31	$400,000
Other income received	2013-05-31	$543,076
Net income (gross income less expenses)	2013-05-31	$543,076
Net plan assets at end of year (total assets less liabilities)	2013-05-31	$4,596,426
Net plan assets at beginning of year (total assets less liabilities)	2013-05-31	$4,053,350
2012 : SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2012 401k financial data
Total income from all sources	2012-05-31	$17,047
Total plan assets at end of year	2012-05-31	$4,053,350
Total plan assets at beginning of year	2012-05-31	$4,036,303
Value of fidelity bond covering the plan	2012-05-31	$400,000
Other income received	2012-05-31	$17,047
Net income (gross income less expenses)	2012-05-31	$17,047
Net plan assets at end of year (total assets less liabilities)	2012-05-31	$4,053,350
Net plan assets at beginning of year (total assets less liabilities)	2012-05-31	$4,036,303
2011 : SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2011 401k financial data
Total income from all sources	2011-05-31	$464,244
Total plan assets at end of year	2011-05-31	$4,036,303
Total plan assets at beginning of year	2011-05-31	$3,572,059
Value of fidelity bond covering the plan	2011-05-31	$400,000
Other income received	2011-05-31	$464,244
Net income (gross income less expenses)	2011-05-31	$464,244
Net plan assets at end of year (total assets less liabilities)	2011-05-31	$4,036,303
Net plan assets at beginning of year (total assets less liabilities)	2011-05-31	$3,572,059

Form 5500 Responses for SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST

2015: SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2015 form 5500 responses
2015-06-01	Type of plan entity	Single employer plan
2015-06-01	This submission is the final filing	Yes
2015-06-01	Plan funding arrangement – Trust	Yes
2015-06-01	Plan benefit arrangement - Trust	Yes
2014: SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2014 form 5500 responses
2014-06-01	Type of plan entity	Single employer plan
2014-06-01	Plan funding arrangement – Trust	Yes
2014-06-01	Plan benefit arrangement - Trust	Yes
2013: SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2013 form 5500 responses
2013-06-01	Type of plan entity	Single employer plan
2013-06-01	Plan funding arrangement – Trust	Yes
2013-06-01	Plan benefit arrangement - Trust	Yes
2012: SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2012 form 5500 responses
2012-06-01	Type of plan entity	Single employer plan
2012-06-01	Plan funding arrangement – Trust	Yes
2012-06-01	Plan benefit arrangement - Trust	Yes
2011: SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2011 form 5500 responses
2011-06-01	Type of plan entity	Single employer plan
2011-06-01	Plan funding arrangement – Trust	Yes
2011-06-01	Plan benefit arrangement - Trust	Yes
2010: SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2010 form 5500 responses
2010-06-01	Type of plan entity	Single employer plan
2010-06-01	Plan funding arrangement – Trust	Yes
2010-06-01	Plan benefit arrangement - Trust	Yes
2009: SAROJ K. VERMA, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2009 form 5500 responses
2009-06-01	Type of plan entity	Single employer plan
2009-06-01	Plan funding arrangement – Trust	Yes
2009-06-01	Plan benefit arrangement - Trust	Yes

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Company Name:	SAROJ K. VERMA, M.D., S.C.
Employer identification number (EIN):	362917911
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)